Organization
NY PREMIER MEDICAL PRACTICE, PC
Active
Organization
NY PREMIER MEDICAL PRACTICE, PC
Active
Other names
NY Spine Care Interventional Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL I JO (OFFICE MANAGER)
(347) 804-7532
Entity
Organization
Contact information
Practice address
188-16 NORTHERN BLVD, FLUSHING, NY 11358-2811
(718) 762-7000
(718) 762-7002
Mailing address
188-16 NORTHERN BLVD, FLUSHING, NY 11358-2811
(718) 762-7000
(718) 762-7002
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
232226
NY
Other
Enumeration date
05/11/2011
Last updated
08/01/2023
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