# SPINAL ANESTHESIA DIAGNOSTIC MEDICAL PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1871833269
- **Authorized official:** AMR A SANDUBY MD (OWNER)
- **Authorized official phone:** (347) 918-8822

## Contact information

- **Practice address:** 900 E TREMONT AVE, BRONX, NY 10460-4355
- **Practice address phone:** (347) 918-8822
- **Practice address fax:** (347) 918-8821
- **Mailing address:** 900 E TREMONT AVE, BRONX, NY 10460-4355

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 219265-2 | NY | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 219265-2 | NY | Yes |

## Other

- **Enumeration date:** 02/21/2013
- **Last updated:** 02/21/2013