Interventional Pain Medicine Pc

NPI 1669560504

Information of Interventional Pain Medicine Pc

The NPI 1669560504 is an Organization type. NPI No 1669560504 belongs to Interventional Pain Medicine Pc. Interventional Pain Medicine Pc specializes in Pain Medicine. is practising at 19617 Hillside Ave, Hollis, New York 11423. You can also contact him via phone number (718) 479-3900.

Practice address located

  • 19617 Hillside Ave
  • Hollis, New York 11423
  • (718) 479-3900
  • (718) 479-3900

Mailling address located

  • 19617 Hillside Ave
  • Hollis, New York 11423
  • (718) 479-3900
  • (718) 479-1014
Interventional Pain Medicine Pc is PECOS enrolled.
NPI No 1669560504
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
Yes207LP2900XPain Medicinen/an/a
Identifier for this provider
StateIdentifierTypeIssuer
NYG18066Medicare UPINn/a
Similar NPIs No