Organization · Type 2 NPI

Integrated Musculoskeletal & Spine Group, PLLC

Specialist · Freeport, NY

NPI number 1083260806 Active

Practice location

73 Guy Lombardo Ave
Freeport, NY 11520-3714

Call (516) 377-3332 Map

Fax (516) 377-3844

Other practice locations

111 W Old Country Rd Unit 101, Hicksville, NY 11801-4036 · (516) 934-0380

Specialties and licenses

Taxonomy	Code	License
Specialist Primary	174400000X	None listed
Pain Medicine (Anesthesiology) Physician	207LP2900X	None listed
Physical Medicine & Rehabilitation Physician	208100000X	None listed
Pain Medicine (Physical Medicine & Rehabilitation) Physician	2081P2900X	None listed
Physical Therapist	225100000X	None listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

8 other providers at this address

Other specialist providers in Freeport

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NPI record

NPI: 1083260806
Entity type: Organization (Type 2)
Issued: Aug 16, 2019
Last updated: Feb 22, 2021
Status: Active

Other names

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The Pain Group Specializing In Pain MGMT & Rehab Medicine, PLLC · former legal business name

Authorized official

Juan Ledon, MD
President
(516) 377-3332

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083260806

Integrated Musculoskeletal & Spine Group, PLLC's National Provider Identifier is 1083260806, issued on Aug 16, 2019. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Freeport, NY. The record was last updated on Feb 22, 2021.