Eastern Suffolk Spine and Pain Medicine, Pllc

NPI #1568223923 in Southold, New York

Provider Information

NPI Number
1568223923
Entity Type
Organization
Organization Name
Eastern Suffolk Spine and Pain Medicine, Pllc
Primary Specialty
Internal Medicine - Gastroenterology
Enumeration Date
Jan 22, 2024
Last Updated
Jul 30, 2025

Practice Location

Address
700 BOISSEAU AVE
ZIP Code
11971-2926
Phone
(631) 477-5353

Authorized Official

Name
DR. NITIN MARIWALLA, MD
Title
CEO
Phone
(631) 885-2406

Specialties & Taxonomy Codes

Specialty
Anesthesiology
Neurological Surgery
Internal Medicine - GastroenterologyGastroenterology

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