Organization Name: | SPINE SPORTS AND INTERVENTIONAL PAIN MEDICINE PC |
NPI Number: | 1043626435 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANJEEV AGARWAL (OWNER) |
Mailing Address: | 495 Central Park Ave Suite 303 Scarsdale |
State: | NY US |
Postal Code: | 105831068 |
Phone Number: | 9147138774 |
Fax Number: | |
NPI Enumeration Date: | 07/07/2014 |
NPI Last Update Date: | 01/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 305S00000X |
License Number: | 2439891 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Point of Service |
Taxonomy Specialization: | |
Taxonomy Definition: | This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |