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General NPI Number Information
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NPI Number | 1215382445
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Entity Type | Organization
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Legal Business Name | MANHATTAN SPINE AND PAIN MANAGEMENT PLLC
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Dates
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Enumeration Date | 04/25/2016
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Last Update Date | 11/16/2020
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Provider Practice Location Address
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Address Line | 83 S BEDFORD RD STE 100
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City | MOUNT KISCO
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State | NY
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Zip | 10549-3459
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Country | US
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Telephone | 914-244-6362
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Fax |
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Provider Business Mailing Address
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Address Line | 83 S BEDFORD RD STE 100
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City | MOUNT KISCO
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State | NY
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Zip | 10549-3459
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Country | US
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Telephone | 914-244-6263
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DAVID SPINNER
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Credential | DO
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Telephone | 917-439-6021
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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