# SPINE AND SPORTS MEDICINE OF NEW YORK PC

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

## Provider details

- **NPI number:** 1467754416
- **Authorized official:** DR. ANDRE PANAGOS M.D. (OWNER)
- **Authorized official phone:** (212) 682-6970

## Contact information

- **Practice address:** 820 2ND AVE, SUITE 6D, NEW YORK, NY 10017-4504
- **Practice address phone:** (212) 682-6970
- **Practice address fax:** (212) 682-6979
- **Mailing address:** 820 2ND AVE, SUITE 6D, NEW YORK, NY 10017-4504
- **Mailing address phone:** (212) 682-6970
- **Mailing address fax:** (212) 682-6979

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | A220814-1 | NY | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | A228647-1 | NY | — |

## Other

- **Enumeration date:** 11/24/2010
- **Last updated:** 10/03/2012