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Organization
WESTSIDE SPINE AND SPORTS MEDICINE, P. C.
Active
Organization
WESTSIDE SPINE AND SPORTS MEDICINE, P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT REALE M.D. (PRESIDENT)
(212) 262-7246
Entity
Organization
Contact information
Practice address
244 W 54TH ST, 3RD FLOOR, NEW YORK, NY 10019-5515
(212) 262-7246
(212) 262-9178
Mailing address
244 W 54TH ST, 3RD FLOOR, NEW YORK, NY 10019-5515
(212) 262-7246
(212) 262-9178
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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