Organization
EMPIRE JOINT AND SPINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD DAUHAJRE M.D. (PRESIDENT)
(646) 644-9320
Entity
Organization
Contact information
Practice address
9033 ELMHURST AVE, JACKSON HEIGHTS, NY 11372-7935
(718) 457-7000
(718) 458-0397
Mailing address
15 LONGVIEW CT, OLD TAPPAN, NJ 07675-7480
(646) 644-9320
(718) 457-0651
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
219978
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02216200
—
NY
Enumeration date
08/09/2006
Last updated
06/18/2024
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