# I SPINE, PC

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

## Provider details

- **NPI number:** 1518632199
- **Authorized official:** TAMAR GHALY MD (OWNER AND PHYSICIAN)
- **Authorized official phone:** (917) 526-7039

## Contact information

- **Practice address:** 1389 W MAIN ST STE 123, WATERBURY, CT 06708-3104
- **Practice address phone:** (203) 755-5555
- **Practice address fax:** (203) 819-7739
- **Mailing address:** 60 PRINZ CT, CHESHIRE, CT 06410-2972

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/16/2021
- **Last updated:** 03/03/2022