Organization
PAIN, SPINE, AND SPORT MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC ROSENBLATT MD (OWNER)
(845) 570-5260
Entity
Organization
Contact information
Practice address
873 ROUTE 45, NEW CITY, NY 10956-1116
(845) 570-5260
Mailing address
PO BOX 489, THIELLS, NY 10984-0489
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
148797
NY
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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