Organization
CITY SPINE & REHAB MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY IODICE (PRACTICE MANAGER)
(973) 400-1716
Entity
Organization
Contact information
Practice address
65 BROADWAY STE 1605, NEW YORK, NY 10006-2503
(212) 242-8160
Mailing address
44 STATE RT 23 STE 15B, RIVERDALE, NJ 07457-1603
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207L00000X
Anesthesiology Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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