# HARBORSIDE SPORT & SPINE LLC

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

## Provider details

- **NPI number:** 1407079833
- **Authorized official:** DR. DAVID SYLVESTER DC (SINGLE MEMBER)
- **Authorized official phone:** (201) 433-1955

## Contact information

- **Practice address:** 75 MONTGOMERY ST, SUITE 603, JERSEY CITY, NJ 07302-3726
- **Practice address phone:** (201) 433-1955
- **Mailing address:** 75 MONTGOMERY ST, SUITE 603, JERSEY CITY, NJ 07302-3726
- **Mailing address phone:** (201) 433-1955

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225400000X | Rehabilitation Practitioner | MC00641600 | NJ | Yes |

## Other

- **Enumeration date:** 04/11/2007
- **Last updated:** 01/30/2008