Organization
ADVANCE ORTHOPEDIC AND SPINE CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAREN AVANESOV D.O (OWNER)
(718) 891-7100
Entity
Organization
Contact information
Practice address
3059 BRIGHTON 13TH ST, BROOKLYN, NY 11235-5607
(718) 891-7100
(718) 891-3834
Mailing address
3059 BRIGHTON 13TH ST, BROOKLYN, NY 11235-5607
(718) 891-7100
(718) 891-3834
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
238138
NY
207X00000X
Orthopaedic Surgery Physician
238138
NY
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
238138
NY
Other
Enumeration date
07/01/2006
Last updated
11/25/2013
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