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General NPI Number Information
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NPI Number | 1194358275
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Entity Type | Organization
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Legal Business Name | ORTSPRINE, PC
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Dates
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Enumeration Date | 02/18/2020
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Last Update Date | 06/25/2021
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Provider Practice Location Address
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Address Line | 100 E 77TH ST
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City | NEW YORK
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State | NY
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Zip | 10075-1850
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Country | US
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Telephone | 631-617-6011
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Fax |
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Provider Business Mailing Address
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Address Line | 140 ADAMS AVE STE B13
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City | HAUPPAUGE
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State | NY
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Zip | 11788-3618
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Country | US
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Telephone | 631-617-6011
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | JUSTIN SILVERSTEIN
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Credential |
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Telephone | 631-617-6011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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