Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Advanced Spine Care and Pain Management of New York PC

Organization Specialist · NPI 1124102603

Advanced Spine Care and Pain Management of New York PC provides Specialist services in Staten Island, New York. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

565 Jewett Ave
Staten Island, NY 10302-2654
Phone: (718) 701-6010
Fax: (718) 447-7831
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1124102603
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shailesh Pathare — Owner · (718) 818-4892
NPI enumeratedOctober 24, 2006
Last updated in NPPESApril 28, 2021
Certification dateApril 28, 2021
Mailing address565 Jewett Ave, Staten Island, NY 10302-2654

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