Organization
YONKERS SPINE MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LACKNER PA (EMPLOYEE/MANAGER)
(914) 720-7609
Entity
Organization
Contact information
Practice address
1915 CENTRAL PARK AVE STE 205, YONKERS, NY 10710-2949
(914) 652-7543
Mailing address
1915 CENTRAL PARK AVE STE 205, YONKERS, NY 10710-2949
(914) 652-7543
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
03/02/2020
Last updated
03/02/2020
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