Organization
INTERVENTIONAL SPINAL PAIN CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM CANTY MD (OWNER)
(917) 524-7246
Entity
Organization
Contact information
Practice address
149 MADISON AVE RM 702, NEW YORK, NY 10016-6713
(917) 524-7246
(718) 509-6961
Mailing address
149 MADISON AVE RM 702, NEW YORK, NY 10016-6713
(917) 524-7246
(718) 509-6961
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
237504
NY
Other
Enumeration date
04/28/2012
Last updated
07/02/2012
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