# YONKERS SPINE MEDICINE PLLC

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

## Provider details

- **NPI number:** 1275167082
- **Authorized official:** MICHAEL LACKNER PA (EMPLOYEE/MANAGER)
- **Authorized official phone:** (914) 720-7609

## Contact information

- **Practice address:** 1915 CENTRAL PARK AVE STE 205, YONKERS, NY 10710-2949
- **Practice address phone:** (914) 652-7543
- **Mailing address:** 1915 CENTRAL PARK AVE STE 205, YONKERS, NY 10710-2949
- **Mailing address phone:** (914) 652-7543

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/02/2020
- **Last updated:** 03/02/2020