# NEW YORK SPINE CARE MEDICAL, PC

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

## Provider details

- **NPI number:** 1801155130
- **Authorized official:** DR. MUHAMMAD MUSTAFA KHAN M.D. (PRESIDENT)
- **Authorized official phone:** (631) 656-6853

## Contact information

- **Practice address:** 285 MIDDLE COUNTRY RD, SUITE- LL6, SMITHTOWN, NY 11787-2978
- **Practice address phone:** (631) 656-6853
- **Practice address fax:** (631) 656-6855
- **Mailing address:** 285 MIDDLE COUNTRY RD, SUITE- LL6, SMITHTOWN, NY 11787-2978
- **Mailing address phone:** (631) 656-6853
- **Mailing address fax:** (631) 656-6855

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 231492 | NY | Yes |

## Other

- **Enumeration date:** 05/07/2012
- **Last updated:** 05/07/2012