# MUSCULOSKELETAL PAIN MANAGEMENT PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013940444
- **Authorized official:** DR. DEEPAK VASISHTHA MD (PRESIDENT)
- **Authorized official phone:** (845) 623-8000

## Contact information

- **Practice address:** 257 S MIDDLETOWN RD, NANUET, NY 10954-3360
- **Practice address phone:** (845) 623-8000
- **Practice address fax:** (845) 623-0770
- **Mailing address:** 257 S MIDDLETOWN RD, NANUET, NY 10954
- **Mailing address phone:** (845) 623-8000
- **Mailing address fax:** (845) 623-0770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 231223 | NY | Yes |

## Other

- **Enumeration date:** 07/09/2006
- **Last updated:** 12/13/2012