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INNOVATION SPINE MEDICAL PC NPI 1669787180


NPI Information

NPI: 1669787180
Provider Name: INNOVATION SPINE MEDICAL PC
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
4 WEBER AVE
MALVERNE, NY
ZIP 11565
Phone: (516) 599-3999
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INNOVATION SPINE MEDICAL PC is a pain medicine physical medicine rehabilitation in Malverne, NY. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. INNOVATION SPINE MEDICAL PC NPI is 1669787180. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4 WEBER AVE
MALVERNE, NY
ZIP 11565-742
Phone: (516) 599-3999
Fax: (516) 887-8106

The provider's authorized official is Laura Flint .
The authorized official title is Billing Manager and has the following contact phone number (516) 599-3999.

The enumeration date for this NPI number is 8/9/2010 and was last updated on 2/12/2015.


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
12081P2900XPhysical Medicine & RehabilitationPain MedicineYes

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: 5/5/2024

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