Provider Demographics
NPI:1265559058
Name:BROOKLYN SPINE ASSOCIATES,INC.
Entity type:Organization
Organization Name:BROOKLYN SPINE ASSOCIATES,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:A
Authorized Official - Last Name:MEROLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-783-5542
Mailing Address - Street 1:55 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-3912
Mailing Address - Country:US
Mailing Address - Phone:718-783-5542
Mailing Address - Fax:718-398-8995
Practice Address - Street 1:55 8TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-3912
Practice Address - Country:US
Practice Address - Phone:718-783-5542
Practice Address - Fax:718-398-8995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty