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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