Provider Demographics
NPI:1093021685
Name:OSSINING SPINAL CARE LLC
Entity Type:Organization
Organization Name:OSSINING SPINAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:TIMOTHY
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:914-941-1141
Mailing Address - Street 1:71 CROTON AVE
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-4903
Mailing Address - Country:US
Mailing Address - Phone:914-941-1141
Mailing Address - Fax:914-941-1141
Practice Address - Street 1:71 CROTON AVE
Practice Address - Street 2:
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562-4903
Practice Address - Country:US
Practice Address - Phone:914-941-1141
Practice Address - Fax:914-941-1141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-20
Last Update Date:2010-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY182117305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY182117OtherNEW YORK STATE
NY94F85Medicare UPIN