Organization
ARTISAN SPORTS MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS M LA RA (PRACTICE MANAGER)
(212) 427-8136
Entity
Organization
Contact information
Practice address
62 EAST 88TH STREET, LOWER LOBBY, NEW YORK, NY 10128
(212) 427-8136
(212) 427-0200
Mailing address
PO BOX 706, NEW YORK, NY 10028
(212) 427-8136
(212) 427-0200
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
04/06/2007
Last updated
09/11/2025
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