Healthcare Provider Details

I. General information

NPI: 1083923007
Provider Name (Legal Business Name): OSSINING SPINAL CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2010
Last Update Date: 09/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 CROTON AVE
OSSINING NY
10562-4903
US

IV. Provider business mailing address

71 CROTON AVE
OSSINING NY
10562-4903
US

V. Phone/Fax

Practice location:
  • Phone: 914-941-1242
  • Fax: 914-941-1141
Mailing address:
  • Phone: 914-941-1242
  • Fax: 914-941-1141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number182117
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number182117
License Number StateNY

VIII. Authorized Official

Name: DR. PATRICK T MURPHY
Title or Position: DIRECTOR
Credential: D.O.
Phone: 914-941-1242