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Organization
INNOVATION SPINE MEDICAL PC
Active
Organization
INNOVATION SPINE MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA FLINT (BILLING MANAGER)
(516) 599-3999
Entity
Organization
Contact information
Practice address
4 WEBER AVE, MALVERNE, NY 11565-1742
(516) 599-3999
(516) 887-8106
Mailing address
4 WEBER AVE, MALVERNE, NY 11565-1742
(516) 599-3999
(516) 887-8106
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
08/09/2010
Last updated
02/12/2015
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