Organization
ADVANCED PHYSICAL MEDICINE & REHABILITATION LLC
Active
Other names
Spinal & Skeletal Pain Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NAMEER HAIDER MD (AUTHORIZED SIGNATORY)
(315) 798-8737
Entity
Organization
Contact information
Practice address
110 BUSINESS PARK DR, UTICA, NY 13502-6307
(315) 798-8737
(315) 732-1702
Mailing address
110 BUSINESS PARK DR, UTICA, NY 13502-6307
(315) 798-8737
(315) 732-1702
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0236681
—
NY
01
—
CG9418
PALMETTO RRB MEDICARE
—
Enumeration date
08/31/2006
Last updated
01/28/2026
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