Spine Sports & Interventional Pain Medicine Pc

LBN: Spine Sports & Interventional Pain Medicine Pc
Spine Sports & Interventional Pain Medicine Pc is an health care organization with primary practice located at 186 Montague St , Brooklyn NY 11201-3634. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Managed Care Organizations / Point of Service. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty. Spine Sports & Interventional Pain Medicine Pc can be contacted via phone (718) 358-1700, or through Agarwal, Sanjeev via phone (631) 486-9100.

Contact Information

Primary practice address
186 Montague St Brooklyn NY 11201-3634
Phone: (718) 358-1700
Fax: (718) 489-4101
Website:
Map and Directions
Authorized official contact:
Name: Agarwal, Sanjeev Doctor of Medicine (MD)
Phone: (631) 486-9100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Managed Care Organizations / Point of Service 305S00000X 2439891 New York

Profile Details

NPI number 1043626435
LBN Legal business name Spine Sports & Interventional Pain Medicine Pc
DBA Doing business as
Authorized official Agarwal, Sanjeev Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2014
Last updated Jan 3rd, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043626435 NPPES
New York MEDICAID 02899925

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