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Organization
SPINE AND SPORTS MEDICINE OF NEW YORK PC
Active
Organization
SPINE AND SPORTS MEDICINE OF NEW YORK PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRE PANAGOS M.D. (OWNER)
(212) 682-6970
Entity
Organization
Contact information
Practice address
820 2ND AVE, SUITE 6D, NEW YORK, NY 10017-4504
(212) 682-6970
(212) 682-6979
Mailing address
820 2ND AVE, SUITE 6D, NEW YORK, NY 10017-4504
(212) 682-6970
(212) 682-6979
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A220814-1
NY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
A228647-1
NY
Other
Enumeration date
11/24/2010
Last updated
10/03/2012
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