# INTERVENTIONAL SPINAL PAIN CARE PC

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

## Provider details

- **NPI number:** 1679831507
- **Authorized official:** TIM CANTY MD (OWNER)
- **Authorized official phone:** (917) 524-7246

## Contact information

- **Practice address:** 149 MADISON AVE RM 702, NEW YORK, NY 10016-6713
- **Practice address phone:** (917) 524-7246
- **Practice address fax:** (718) 509-6961
- **Mailing address:** 149 MADISON AVE RM 702, NEW YORK, NY 10016-6713
- **Mailing address phone:** (917) 524-7246
- **Mailing address fax:** (718) 509-6961

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 237504 | NY | Yes |

## Other

- **Enumeration date:** 04/28/2012
- **Last updated:** 07/02/2012