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Organization
THE SPINE AND PAIN INSTITUTE OF NEW YORK
Active
Organization
THE SPINE AND PAIN INSTITUTE OF NEW YORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRINA DYNOV FNP (NURSE PRACTITIONER)
(718) 667-3577
Entity
Organization
Contact information
Practice address
1534 VICTORY BLVD, STATEN ISLAND, NY 10314-3548
(718) 667-3577
Mailing address
1534 VICTORY BLVD, STATEN ISLAND, NY 10314-3548
(718) 667-3577
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
33337627
NY
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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