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General NPI Number Information
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NPI Number | 1346837226
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Entity Type | Organization
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Legal Business Name | NEW YORK SPINE MEDICINE AND SURGERY PLLC
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Dates
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Enumeration Date | 12/28/2020
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 640 HAWKINS AVE
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City | RONKONKOMA
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State | NY
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Zip | 11779-2324
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Country | US
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Telephone | 631-730-7970
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Fax | 631-730-7969
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Provider Business Mailing Address
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Address Line | PO BOX 52463
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City | PHOENIX
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State | AZ
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Zip | 85072-2463
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Country | US
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Telephone | 631-730-7970
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Fax | 631-730-7969
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL CHOI
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Credential | MD
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Telephone | 626-975-7706
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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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