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Organization
MINIMALLY INVASIVE CENTER OF NEW YORK LLC
Active
Organization
MINIMALLY INVASIVE CENTER OF NEW YORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMIT SHARMA MD (MEDICAL DIRECTOR)
(917) 400-6184
Entity
Organization
Contact information
Practice address
66 COMMACK RD STE 103, COMMACK, NY 11725-3405
(833) 547-7463
(631) 248-5583
Mailing address
100 MOTOR PKWY STE LL8, HAUPPAUGE, NY 11788-5165
(833) 547-7463
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
NULL
208VP0000X
Pain Medicine Physician
Primary
—
—
261QP3300X
Pain Clinic/Center
—
NULL
291U00000X
Clinical Medical Laboratory
—
NULL
Other
Enumeration date
03/06/2023
Last updated
06/21/2024
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