Organization · Type 2 NPI

Statewide Interventional Pain Medicine, P.c.

Specialist · Astoria, NY

NPI number 1669609582 Active

Practice location

3825 Astoria Blvd
Astoria, NY 11103-3608

Call (718) 758-9600 Map

Fax (718) 758-9602

Mailing address

300 Marcus Avenue, PO Box 3757
Lake Success, NY 11042

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X224928 (NY)

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 Astoria

See all in Astoria →

About NPI 1669609582

Statewide Interventional Pain Medicine, P.c.'s National Provider Identifier is 1669609582, issued on Jun 18, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Astoria, NY. The record was last updated on Jun 18, 2009.