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Organization

NEW YORK SPORTS SPINE PAIN MEDICINE P.C.

Active
Find providers by NPI
Organization

NEW YORK SPORTS SPINE PAIN MEDICINE P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SANJEEV AGARWAL MD (PRESIDENT)
(347) 920-8375
Entity
Organization

Contact information

Practice address
12620 101ST AVE, JAMAICA, NY 11419-1547
(718) 322-4145
Mailing address
1 SHERIDAN RD, SCARSDALE, NY 10583-1524
(347) 920-8375

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—

Other

Enumeration date
07/25/2023
Last updated
07/25/2023
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