Organization · Type 2 NPI

Statewide Interventional Pain Medicine, PC

Interventional Pain Medicine Physician · Mineola, NY

NPI number 1407004781 Active

Practice location

40 E 2nd St
Mineola, NY 11501-3504

Fax (516) 747-4783

Specialties and licenses

TaxonomyCodeLicense
Interventional Pain Medicine Physician Primary 208VP0014XNone listed

Interventional Pain Medicine Physician: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

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About NPI 1407004781

Statewide Interventional Pain Medicine, PC's National Provider Identifier is 1407004781, issued on Aug 29, 2008. The primary taxonomy on file is Interventional Pain Medicine Physician (208VP0014X), and the practice location is in Mineola, NY. The record was last updated on Aug 29, 2008.