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Organization
SPINAL ANESTHESIA DIAGNOSTIC MEDICAL PC
Active
Organization
SPINAL ANESTHESIA DIAGNOSTIC MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMR A SANDUBY MD (OWNER)
(347) 918-8822
Entity
Organization
Contact information
Practice address
900 E TREMONT AVE, BRONX, NY 10460-4355
(347) 918-8822
(347) 918-8821
Mailing address
900 E TREMONT AVE, BRONX, NY 10460-4355
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
219265-2
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
219265-2
NY
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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