Organization
LASER SPINE & PAIN INSTITUTE LLC
Active
Organization
LASER SPINE & PAIN INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUKDEB DATTA MD (PRESIDENT)
(615) 479-4692
Entity
Organization
Contact information
Practice address
90 PARK AVE, SUITE 1700, NEW YORK, NY 10016-1301
(212) 430-0312
(212) 430-0412
Mailing address
90 PARK AVE, SUITE 1700, NEW YORK, NY 10016-1301
(212) 430-0312
(212) 430-0412
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
259015-1
NY
Other
Enumeration date
05/24/2011
Last updated
06/27/2011
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