THE SPINE AND PAIN INSTITUTE OF NEW YORK


Address: 1534 Victory Blvd, Staten Island, NY 10314-3548
Phone: 7186673577

THE SPINE AND PAIN INSTITUTE OF NEW YORK (NPI# 1164865911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164865911
Entity Type Organization
Organization Name THE SPINE AND PAIN INSTITUTE OF NEW YORK
Practice Address 1534 Victory Blvd
Staten Island
NY 10314-3548
Practice Telephone 7186673577
Mailing Telephone 7186673577
Enumeration Date 2013-04-11
Last Update Date 2013-04-11
Authorized Official Name MRS. IRINA DYNOV (NURSE PRACTITIONER)
Authorized Official Telephone 7186673577
Authorized Official Credential FNP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
33337627 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1534 VICTORY BLVD
City STATEN ISLAND
State NY
Zip Code 10314-3548

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720072481 Donna Acquafredda Internal Medicine 1534 Victory Blvd, Staten Island, NY 10314-3548 2005-09-08
1588212864 Elaina Consiglio Orthopaedic Surgery 1534 Victory Blvd, Staten Island, NY 10314 2019-08-29
1528534443 Cary B Chapman Md Pllc Orthopaedic Surgery 1534 Victory Blvd, Staten Island, NY 10314-3548 2018-10-18
1699206144 Jaclyn Pappas Nurse Practitioner 1534 Victory Blvd, Staten Island, NY 10314-3548 2017-03-27
1790136356 Jenna Davino Physician Assistant 1534 Victory Blvd, Staten Island, NY 10314-3548 2016-06-24
1205231719 Manjula Chava Physician Assistant 1534 Victory Blvd, Staten Island, NY 10314-3548 2014-10-27
1215332853 Spine & Pain Constulants Physician Assistant 1534 Victory Blvd, Staten Island, NY 10314-3548 2014-10-24
1043624711 Gcg Anesthesia, LLC Anesthesiology 1534 Victory Blvd, Staten Island, NY 10314-3548 2014-06-20
1114339645 Pamela Philippsborn Nurse Practitioner 1534 Victory Blvd, Staten Island, NY 10314-3548 2014-06-02
1861811986 Radha Gosalia Physician Assistant 1534 Victory Blvd, Staten Island, NY 10314-3548 2014-04-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568076255 Edward Leccese Massage Therapist 77 Renee Place, Staten Island, NY 10314 2020-09-01
1871154633 Matthew Richard Puliatti Counselor 1688 Victory Boulevard, Staten Island, NY 10314 2019-06-24
1750845137 Miriam Gordon Pediatric Np PC Nurse Practitioner 7 Ismay Street, Staten Island, NY 10314 2019-01-30
1003391186 2791 Richmond LLC Dentist 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314 2018-09-25
1477046522 Miriam A Madry Optometrist 569 Woolley Ave, Staten Island, NY 10314 2018-06-13
1174025894 Staten Island Dentistry P.C. Clinic/Center 979 Willowbrook Rd., Staten Island, NY 10314 2018-03-08
1205335023 Ashley Larsen Early Intervention Provider Agency 229 Wellington Ct, Staten Island, NY 10314 2018-02-07
1306369699 Victoria Ali Behavior Technician 228 Melvin Avenue, Staten Island, NY 10314 2017-07-19
1700307360 Lydia Mora Specialist 2025 Richmond Avenue Suite 200, Staten Island, NY 10314 2017-07-03
1366971707 Lisa Pietracatella Massage Therapist 92 Margaretta Court, Staten Island, NY 10314 2017-06-08
Find all providers in zip 10314

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871194027 Wai Ying Chan Nurse Practitioner 659 Britton Ave, Staten Island, NY 10304-4463 2020-11-04
1215542923 Margaret Chifong Tam Nurse Practitioner 85 Venice Avenue, Staten Island, NY 10304 2020-09-10
1215540638 Shanna Hinckson Nurse Practitioner 53 Tillman St, Staten Island, NY 10314-5680 2020-08-25
1104438548 Amanda Power Nurse Practitioner 64 Lovell Ave, Staten Island, NY 10314-4969 2020-08-18
1497367817 Darya Olekhnovich Nurse Practitioner 25 Navesink Pl, Staten Island, NY 10306-5622 2020-08-18
1194335372 Kimberly Sage Nurse Practitioner 36 Carly Ct, Staten Island, NY 10309-2735 2020-08-03
1932718855 Christine Louise Lutrario Nurse Practitioner 293 Edinboro Rd, Staten Island, NY 10306-1204 2020-07-27
1447877592 Mirena Khaimova Nurse Practitioner 302 Getz Ave, Staten Island, NY 10312-2433 2020-07-05
1063039220 Hima Girish Nurse Practitioner 64 Galloway Ave, Staten Island, NY 10302-2528 2020-07-02
1245854314 Desiree Joy Ambrosio Nurse Practitioner 45 Burnside Ave, Staten Island, NY 10302-2302 2020-06-03
Find all providers in STATEN ISLAND

Competitor

Search similar providers

City STATEN ISLAND
Zip Code 10314

Improve Information

Please comment or provide details below to improve the information on THE SPINE AND PAIN INSTITUTE OF NEW YORK.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches