Innovation Spine Medical PC

Organization Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1669787180

Innovation Spine Medical PC is a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Malverne, New York. Registered with an NPI since 2010.

In the registry since: 2010

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

4 Weber Ave
Malverne, NY 11565-1742
Phone: (516) 599-3999
Fax: (516) 887-8106

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary)	Taxonomy 2081P2900X

Record details

NPI number	1669787180
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Laura Flint — Billing Manager · (516) 599-3999
NPI enumerated	August 9, 2010
Last updated in NPPES	February 12, 2015
Mailing address	4 Weber Ave, Malverne, NY 11565-1742