Organization
NY SPINE AND REHAB MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY IODICE (PRACTICE MANAGER)
(973) 400-1716
Entity
Organization
Contact information
Practice address
56 W 45TH ST, NEW YORK, NY 10036-4206
(973) 400-1716
(973) 400-1631
Mailing address
56 W 45TH ST, NEW YORK, NY 10036-4206
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LH0002X
Hospice and Palliative Medicine (Anesthesiology) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2084N0400X
Neurology Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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