Organization
MINIMALLY INVASIVE SPINE, LLC
Active
Organization
MINIMALLY INVASIVE SPINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZAIN HAIDER (DIRECTOR OF OPERATIONS)
(315) 733-1384
Entity
Organization
Contact information
Practice address
1625 N GEORGE MASON DR, ARLINGTON, VA 22205-3683
(703) 894-2224
(703) 894-2224
Mailing address
2208 GENESEE ST, UTICA, NY 13502-5809
(315) 733-1384
(315) 797-6346
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
01/04/2010
Last updated
01/04/2010
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