Organization
RIVERSIDE SPINE AND PAIN MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY IODICE (OFFICE MANAGER)
(973) 400-1716
Entity
Organization
Contact information
Practice address
41 5TH AVE STE IC, NEW YORK, NY 10003-4319
(212) 807-6599
Mailing address
44 STATE RT 23 STE 15B, RIVERDALE, NJ 07457-1603
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
05/30/2013
Last updated
01/24/2023
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