# WESTSIDE SPINE AND SPORTS MEDICINE, P. C.

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

## Provider details

- **NPI number:** 1376719823
- **Authorized official:** DR. SCOTT REALE M.D. (PRESIDENT)
- **Authorized official phone:** (212) 262-7246

## Contact information

- **Practice address:** 244 W 54TH ST, 3RD FLOOR, NEW YORK, NY 10019-5515
- **Practice address phone:** (212) 262-7246
- **Practice address fax:** (212) 262-9178
- **Mailing address:** 244 W 54TH ST, 3RD FLOOR, NEW YORK, NY 10019-5515
- **Mailing address phone:** (212) 262-7246
- **Mailing address fax:** (212) 262-9178

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 05/05/2008
- **Last updated:** 05/05/2008