New York Ispine Specialist Medical PC
New York Ispine Specialist Medical PC is a Pain Medicine Physician in Great Neck, New York. Registered with an NPI since 2015.
- In the registry since
- 2015
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
600 Northern BlvdGreat Neck, NY 11021-5206
Phone: (516) 441-5739
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pain Medicine Physician (primary) | Taxonomy 208VP0000X |
|---|
Record details
| NPI number | 1144604539 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Madan Raj — Md · (516) 441-5739 |
| NPI enumerated | July 15, 2015 |
| Last updated in NPPES | September 9, 2015 |
| Mailing address | 11 Holiday Pond Rd, Jericho, NY 11753-1154 |