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ARTISAN SPORTS MEDICINE PC NPI 1396868402


NPI Information

NPI: 1396868402
Provider Name: ARTISAN SPORTS MEDICINE PC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
62 EAST 88TH STREET
LOWER LOBBY
NEW YORK, NY
ZIP 10128
Phone: (212) 427-8136
Get Directions

ARTISAN SPORTS MEDICINE PC is an interventional pain medicine pain medicine in New York, NY. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. ARTISAN SPORTS MEDICINE PC NPI is 1396868402. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

62 EAST 88TH STREET
LOWER LOBBY
NEW YORK, NY
ZIP 10128
Phone: (212) 427-8136
Fax: (212) 427-0200

The provider's authorized official is Thomas M La Ra .
The authorized official title is Practice Manager and has the following contact phone number (212) 427-8136.

The enumeration date for this NPI number is 4/6/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208VP0014XPain MedicineInterventional Pain MedicineYes
2225100000XPhysical TherapistX

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: 11/14/2023

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