Provider Demographics
NPI:1215340583
Name:MANHATTAN ORTHOPEDIC SPINE PLLC
Entity type:Organization
Organization Name:MANHATTAN ORTHOPEDIC SPINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FABIEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BITAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-717-7463
Mailing Address - Street 1:215 E 77TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-2059
Mailing Address - Country:US
Mailing Address - Phone:212-717-7463
Mailing Address - Fax:212-744-8407
Practice Address - Street 1:215 E 77TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-2059
Practice Address - Country:US
Practice Address - Phone:212-717-7463
Practice Address - Fax:212-744-8407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-04
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY211398207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty