# SPINAL PAIN &REHAB MEDICAL PC

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

## Provider details

- **NPI number:** 1487978482
- **Authorized official:** DR. ELIZABETH P MATHEW M.D. (M.D.)
- **Authorized official phone:** (917) 705-6788

## Contact information

- **Practice address:** 455 CENTRAL PARK AVE, NUMBER 311, SCARSDALE, NY 10583-1060
- **Practice address phone:** (914) 207-1161
- **Practice address fax:** (914) 207-1162
- **Mailing address:** 159 SOUTH DR, MANHASSET HILLS, NY 11040-2232
- **Mailing address phone:** (917) 705-6788
- **Mailing address fax:** (914) 207-1162

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 249489-1 | NY | Yes |

## Other

- **Enumeration date:** 03/18/2010
- **Last updated:** 03/18/2010