Organization · Type 2 NPI

Integrated Interventional Pain Management PC

Pain Clinic/Center · Bayside, NY

NPI number 1164918835 Active

Practice location

20712 Northern Blvd Ste 3
Bayside, NY 11361-3108

Specialties and licenses

TaxonomyCodeLicense
Pain Clinic/Center Primary 261QP3300X243366 (NY)

Pain Clinic/Center: Definition to come...

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About NPI 1164918835

Integrated Interventional Pain Management PC's National Provider Identifier is 1164918835, issued on Jul 6, 2018. The primary taxonomy on file is Pain Clinic/Center (261QP3300X), and the practice location is in Bayside, NY. The record was last updated on Jul 28, 2020.