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Organization

SPINE & PAIN CARE LLC

Active
Other names
Advanced Pain Care LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID MOORTHI MD (MEMBER LLC)
(585) 271-1620
Entity
Organization

Contact information

Practice address
1882 WINTON RD S, STE 6, ROCHESTER, NY 14618-3951
(585) 271-1620
(585) 271-1634
Mailing address
PO BOX 18125, ROCHESTER, NY 14618-0125
(585) 271-1620
(585) 271-1634

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
214078
NY
208VP0014X
Interventional Pain Medicine Physician
Primary
214078
NY

Other

Enumeration date
09/22/2006
Last updated
03/24/2011
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