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Organization
NEW YORK PAIN AND SPINE MEDICINE LLC
Active
Organization
NEW YORK PAIN AND SPINE MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON MEMPHIS (OFFICE MANAGER)
(646) 535-5989
Entity
Organization
Contact information
Practice address
409 HOOPER RD, ENDWELL, NY 13760-3661
(301) 326-5397
(607) 429-0244
Mailing address
PO BOX 305, VESTAL, NY 13851-0305
(301) 326-5397
(607) 429-0244
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
247295
NY
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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