Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Spine Sports & Interventional Pain Medicine PC

Organization Physical Medicine & Rehabilitation Physician · NPI 1043626435

Spine Sports & Interventional Pain Medicine PC is a Physical Medicine & Rehabilitation Physician in Brooklyn, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2014
Specialties on file
2
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

186 Montague St
Brooklyn, NY 11201-3634
Phone: (718) 358-1700
Fax: (718) 489-4101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 495 Central Park Ave, Scarsdale, NY 10583-1068 — (914) 713-8774

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X
Point of Service Taxonomy 305S00000X · Licence 2439891 (NY)

Record details

NPI number1043626435
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sanjeev Agarwal — Owner · (631) 486-9100
NPI enumeratedJuly 7, 2014
Last updated in NPPESJanuary 3, 2019
Mailing address495 Central Park Ave, Suite 303, Scarsdale, NY 10583-1068

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