# EMPIRE SPINE PHYSICAL REHABILITATION PC

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

## Provider details

- **NPI number:** 1952085623
- **Authorized official:** SINA MENASHEHOFF (DO)
- **Authorized official phone:** (917) 376-9576

## Contact information

- **Practice address:** 8814 SUTPHIN BLVD, JAMAICA, NY 11435-3711
- **Practice address phone:** (917) 376-9576
- **Mailing address:** 8814 SUTPHIN BLVD, JAMAICA, NY 11435-3711

## Taxonomy

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

## Other

- **Enumeration date:** 06/13/2023
- **Last updated:** 06/13/2023
