Organization
LSA PHYSICIANS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA NIELI (CREDENTIALING MANAGER)
(914) 376-6100
Entity
Organization
Contact information
Practice address
286 MADISON AVE, NEW YORK, NY 10017-6345
(914) 376-6100
(914) 470-5056
Mailing address
286 MADISON AVE, NEW YORK, NY 10017-6345
(914) 376-6100
(914) 470-5056
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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