Organization
MINIMALLY INVASIVE CENTER OF NEW YORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMIT SHARMA MD (MEDICAL DIRECTOR)
(917) 400-6184
Entity
Organization
Contact information
Practice address
66 COMMACK RD STE 103, COMMACK, NY 11725-3405
(833) 547-7463
(631) 248-5583
Mailing address
100 MOTOR PKWY STE LL8, HAUPPAUGE, NY 11788-5165
(833) 547-7463
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
03/06/2023
Last updated
06/21/2024
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