Provider Demographics
NPI:1215382445
Name:MANHATTAN SPINE AND PAIN MANAGEMENT PLLC
Entity Type:Organization
Organization Name:MANHATTAN SPINE AND PAIN MANAGEMENT PLLC
Other - Org Name:WESTCHESTER PAIN MANAGEMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SPINNER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:917-439-6021
Mailing Address - Street 1:83 S BEDFORD RD STE 100
Mailing Address - Street 2:
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3459
Mailing Address - Country:US
Mailing Address - Phone:914-244-6263
Mailing Address - Fax:
Practice Address - Street 1:83 S BEDFORD RD STE 100
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-3459
Practice Address - Country:US
Practice Address - Phone:914-244-6362
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-25
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty