Organization
MUSCULOSKELETAL PAIN MANAGEMENT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEEPAK VASISHTHA MD (PRESIDENT)
(845) 623-8000
Entity
Organization
Contact information
Practice address
257 S MIDDLETOWN RD, NANUET, NY 10954-3360
(845) 623-8000
(845) 623-0770
Mailing address
257 S MIDDLETOWN RD, NANUET, NY 10954
(845) 623-8000
(845) 623-0770
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
231223
NY
Other
Enumeration date
07/09/2006
Last updated
12/13/2012
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