ADVANCED SPINE CARE AND PAIN MANAGEMENT OF NEW YORK PC NPI 1124102603

NPI Information

ADVANCED SPINE CARE AND PAIN MANAGEMENT OF NEW YORK PC is a specialist in Staten Island, NY. The provider is 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. ADVANCED SPINE CARE AND PAIN MANAGEMENT OF NEW YORK PC NPI is 1124102603. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

565 JEWETT AVE
STATEN ISLAND, NY
ZIP 10302-654
Phone: (718) 701-6010
Fax: (718) 447-7831

The provider's authorized official is Shailesh S Pathare .
The authorized official title is Owner and has the following contact phone number (718) 818-4892.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 4/28/2021.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.