Organization
NEW YORK SPORTS SPINE PAIN MEDICINE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANJEEV AGARWAL MD (PRESIDENT)
(347) 920-8375
Entity
Organization
Contact information
Practice address
12620 101ST AVE, JAMAICA, NY 11419-1547
(718) 322-4145
Mailing address
1 SHERIDAN RD, SCARSDALE, NY 10583-1524
(347) 920-8375
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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