Provider Demographics
NPI:1316128218
Name:JOINT PAIN AND SPINE CARE, PLLC
Entity type:Organization
Organization Name:JOINT PAIN AND SPINE CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:VIKTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEMBERIKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FABPMR
Authorized Official - Phone:718-382-7755
Mailing Address - Street 1:1384 FLATBUSH AVE
Mailing Address - Street 2:GROUND LEVEL
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-1336
Mailing Address - Country:US
Mailing Address - Phone:718-382-7755
Mailing Address - Fax:
Practice Address - Street 1:1725 E 12TH ST
Practice Address - Street 2:SUTE LL -2
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-1028
Practice Address - Country:US
Practice Address - Phone:718-382-7718
Practice Address - Fax:718-382-7719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-19
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22-40732081N0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081N0008XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationNeuromuscular MedicineGroup - Multi-Specialty