Organization
SPINE AND SPORTS MEDICINE OF NEW YORK PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRE PANAGOS M.D. (OWNER)
(212) 682-6970
Entity
Organization
Contact information
Practice address
820 2ND AVE, SUITE 6D, NEW YORK, NY 10017-4504
(212) 682-6970
(212) 682-6979
Mailing address
820 2ND AVE, SUITE 6D, NEW YORK, NY 10017-4504
(212) 682-6970
(212) 682-6979
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A220814-1
NY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
A228647-1
NY
Other
Enumeration date
11/24/2010
Last updated
10/03/2012
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