THE SPINE AND PAIN INSTITUTE OF NEW YORK NPI 1164865911

NPI Information

NPI: 1164865911
Provider Name: THE SPINE AND PAIN INSTITUTE OF NEW YORK
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
1534 VICTORY BLVD
STATEN ISLAND, NY
ZIP 10314
Phone: (718) 667-3577
Get Directions

THE SPINE AND PAIN INSTITUTE OF NEW YORK is a family nurse practitioner in Staten Island, NY. THE SPINE AND PAIN INSTITUTE OF NEW YORK NPI is 1164865911. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1534 VICTORY BLVD
STATEN ISLAND, NY
ZIP 10314-548
Phone: (718) 667-3577

The provider's authorized official is Irina Dynov .
The authorized official title is Nurse Practitioner and has the following contact phone number (718) 667-3577.

The enumeration date for this NPI number is 4/11/2013 and was last updated on 4/11/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	33337627	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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