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Organization

LONG ISLAND SPINE SPECIALISTS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA MOHR CPC (BILLING DIRECTOR)
(631) 462-2225
Entity
Organization

Contact information

Practice address
763 LARKFIELD RD, 2ND FLOOR, COMMACK, NY 11725-3131
(631) 462-2225
(631) 462-2240
Mailing address
763 LARKFIELD RD, 2ND FLOOR, COMMACK, NY 11725-3131
(631) 462-2225
(631) 462-2240

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Enumeration date
03/05/2010
Last updated
03/05/2010
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