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NPI Code Detail

MEDICARE: NEW YORK SPINE AND NEUROSURGERY ASSOCIATES PC

MEDICARE: NEW YORK SPINE AND NEUROSURGERY ASSOCIATES PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207T00000XNeurological Surgery Physician184886NY

General Provider Information

NPI Number : 1184679458
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW YORK SPINE AND NEUROSURGERY ASSOCIATES PC
Provider Business Mailing Address
First Line : 1182 TROY SCHENECTADY RD
Second Line : SUITE 100
City : LATHAM
State : NY
Zip : 12110-1000
Country : US
Telephone Number : 518-713-5400
Fax Number : 518-713-5401
Provider Business Practice Location Address
First Line : 1182 TROY SCHENECTADY RD
Second Line : SUITE 100
City : LATHAM
State : NY
Zip : 12110-1000
Country : US
Telephone Number : 518-713-5400
Fax Number : 518-713-5401
Authorized Official
Title or Position : MD/OWNER
Name : DR. FRANK LOUIS GENOVESE
Credential : M.D.
Telephone Number : 518-713-5400
Provider Enumeration Date : 05/24/2006
Last Update Date : 06/19/2009

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