Organization
SPINE SPORTS OCCUPATIONAL REHABILITATION ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERARD PHILIP VARLOTTA DO (OWNER)
(212) 263-6062
Entity
Organization
Contact information
Practice address
317 E 34TH ST, 5TH FLOOR, NEW YORK, NY 10016-4974
(212) 263-6062
(212) 263-6096
Mailing address
317 E 34TH ST, 5TH FLOOR, NEW YORK, NY 10016-4974
(212) 263-6062
(212) 263-6096
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
—
171100000X
Acupuncturist
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P0004X
Spinal Cord Injury Medicine Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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