| Organization Name: | COMPREHENSIVE SPINE CARE, PA |
| NPI Number: | 1407810815 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ARI BEN-YISHAY (OWNER) |
| Mailing Address: | 466 Old Hook Rd Suite 16 Emerson |
| State: | NJ US |
| Postal Code: | 076301396 |
| Phone Number: | 2016341811 |
| Fax Number: | 2016349170 |
| NPI Enumeration Date: | 04/13/2006 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | QA06902 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |