Organization
THE SPORTS MEDICAL ZONE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MCKIRVEN CEUS MD (OWNER)
(845) 405-5311
Entity
Organization
Contact information
Practice address
60 COLLEGE AVE, NANUET, NY 10954-3010
(845) 579-2700
Mailing address
60 COLLEGE AVE, NANUET, NY 10954-3010
(845) 579-2700
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
03/31/2020
Last updated
03/31/2020
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