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Organization
NEW YORK SPINE & SPORT REHABILITATION MEDICINE P.C.
Active
Organization
NEW YORK SPINE & SPORT REHABILITATION MEDICINE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIREEN M GOPAL MD (OWER)
(718) 794-0600
Entity
Organization
Contact information
Practice address
1250 WATERS PL STE 710, BRONX, NY 10461-2733
(718) 794-0600
(718) 684-5728
Mailing address
1250 WATERS PL STE 710, BRONX, NY 10461-2733
(718) 794-0600
(718) 684-5728
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
201895
NY
Other
Enumeration date
04/11/2007
Last updated
05/01/2025
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