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Organization
SPINE SPORTS OCCUPATIONAL REHABILITATION ASSOCIATES, LLC
Active
Organization
SPINE SPORTS OCCUPATIONAL REHABILITATION ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERARD PHILIP VARLOTTA DO (OWNER)
(212) 263-6062
Entity
Organization
Contact information
Practice address
317 E 34TH ST, 5TH FLOOR, NEW YORK, NY 10016-4974
(212) 263-6062
(212) 263-6096
Mailing address
317 E 34TH ST, 5TH FLOOR, NEW YORK, NY 10016-4974
(212) 263-6062
(212) 263-6096
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
—
171100000X
Acupuncturist
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P0004X
Spinal Cord Injury Medicine Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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