Organization
BACK AND BODY MEDICAL CARE, P.C.
Active
Other names
dba Back and Body Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAN SIVENDRA M.D. (PRESIDENT)
(212) 371-2000
Entity
Organization
Contact information
Practice address
133 E 58TH ST, SUITE 708, NEW YORK, NY 10022-1236
(212) 371-2000
(212) 371-2250
Mailing address
133 E 58TH ST, SUITE 708, NEW YORK, NY 10022-1236
(212) 371-2000
(212) 371-2250
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
245922-1
NY
Other
Enumeration date
01/09/2008
Last updated
11/15/2010
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