Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Advanced Spine Care and Pain Management of New York PC

Organization Specialist · NPI 1124102603

Advanced Spine Care and Pain Management of New York PC is a Specialist in Staten Island, New York. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

565 Jewett Ave
Staten Island, NY 10302-2654
Phone: (718) 701-6010
Fax: (718) 447-7831
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1124102603
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shailesh Pathare — Owner · (718) 818-4892
NPI enumeratedOctober 24, 2006
Last updated in NPPESApril 28, 2021
Certification dateApril 28, 2021
Mailing address565 Jewett Ave, Staten Island, NY 10302-2654

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