# MINIMALLY INVASIVE CENTER OF NEW YORK LLC

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

## Provider details

- **NPI number:** 1174223515
- **Authorized official:** DR. AMIT SHARMA MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (917) 400-6184

## Contact information

- **Practice address:** 66 COMMACK RD STE 103, COMMACK, NY 11725-3405
- **Practice address phone:** (833) 547-7463
- **Practice address fax:** (631) 248-5583
- **Mailing address:** 100 MOTOR PKWY STE LL8, HAUPPAUGE, NY 11788-5165
- **Mailing address phone:** (833) 547-7463

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |
| 261QP3300X | Pain Clinic/Center | — | NULL | — |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 03/06/2023
- **Last updated:** 06/21/2024