Organization
NASR SPINE & PAIN MANAGEMENT P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANY NASR M.D (PRESIDENT)
(917) 309-2642
Entity
Organization
Contact information
Practice address
36 HURON ST, PORT JEFFERSON STATION, NY 11776-4313
(917) 309-2642
Mailing address
36 HURON ST, PORT JEFFERSON STATION, NY 11776-4313
(917) 309-2642
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
283X00000X
Rehabilitation Hospital
—
—
3140N1450X
Pediatric Skilled Nursing Facility
—
—
Other
Enumeration date
09/04/2009
Last updated
09/04/2009
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