Advanced Spine Care And Pain Management Of New York Pc in Staten Island - Specialist
Advanced Spine Care And Pain Management Of New York Pc - NPI 1124102603
Advanced Spine Care And Pain Management Of New York Pc is a Specialist in Staten Island, New York. Advanced Spine Care And Pain Management Of New York Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Advanced Spine Care And Pain Management Of New York Pc is 1124102603. The last update date is 2021-04-28.
Advanced Spine Care And Pain Management Of New York Pc's current location address is 565 Jewett Ave, Staten Island, New York. You can contact this provider via phone number 7187016010 and fax number 7184477831. The mailing address for Advanced Spine Care And Pain Management Of New York Pc is 565 Jewett Ave, Staten Island, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Advanced Spine Care And Pain Management Of New York Pc |
|---|---|
| Address | 565 Jewett Ave, Staten Island, New York |
| Phone Number | 7187016010 |
| Fax Number | 7184477831 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Pathare S Shailesh |
| Credentials | M.D. |
| Telephone Number | 7188184892 |
NPI Number Detail
| NPI Number | 1124102603 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2021-04-28 |
Provider Mailing Address Detail
| Address | 565 Jewett Ave |
|---|---|
| City | Staten Island |
| State | New York (NY) |
| Post Code | 103022654 |
| Phone Number | 7187016010 |
| Fax Number | 7184477831 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2006962 | NY | -- | |
| 355618300 | NY | US DEPT OF LABOR | |
| 0012J1 | NY | EMPIRE BC BS | |
| 205677 | NY | HIP | |
| 4C4399 | NY | PHS/HEALTHNET | |
| 8799893 | NY | GHI | |
| 173446 | NY | ELDERPLAN | |
| DA0552 | NY | RAILROAD MEDICARE | |
| P1883750 | NY | OXFORD |
Post Comment/ Review Below
What is the unique identifier code issued to Advanced Spine Care And Pain Management Of New York Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Advanced Spine Care And Pain Management Of New York Pc has been assigned the NPI (National Provider Identifier) 1124102603. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Advanced Spine Care And Pain Management Of New York Pc is physically located?
The Advanced Spine Care And Pain Management Of New York Pc is situated at the following address: 565 Jewett Ave, Staten Island, NY 103022654.
What is Advanced Spine Care And Pain Management Of New York Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Advanced Spine Care And Pain Management Of New York Pc is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
When was the Advanced Spine Care And Pain Management Of New York Pc's 1124102603 issued?
The Advanced Spine Care And Pain Management Of New York Pc's 1124102603 was issued on 2006-10-24.
When was the information pertaining to Advanced Spine Care And Pain Management Of New York Pc most recently updated or revised?
The details related to Advanced Spine Care And Pain Management Of New York Pc, including its address, specialty, and other relevant information, were last updated or revised on 2021-04-28.
NPI Number: 1689677783
Address: Po Box 69043, Baltimore, MD
NPI Number: 1942203914
Address: 750 Broadway Ave E, Mattoon, IL
NPI Number: 1164425609
Address: 1401 Reisterstown Rd, Baltimore, MD
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC
NPI Number: 1619971256
Address: 650 Baldwin St, Elmira, NY
NPI Number: 1740285196
Address: 3875 Tiger Bay Rd, Daytona Beach, FL
NPI Number: 1457357352
Address: 4734 W Chicago Ave, Chicago, IL