Organization
SPINE AND PAIN MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAE KANG (BILLING MANAGER)
(914) 681-9089
Entity
Organization
Contact information
Practice address
83 MONTGOMERY AVE, SCARSDALE, NY 10583-5104
(914) 681-9089
Mailing address
200 S BROADWAY, SUITE 205, TARRYTOWN, NY 10591-4500
(917) 572-7108
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
6143
NY
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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