| Integrative Pain Medicine Nyc Pllc | |
|
1041 3rd Ave New York NY 10065-8114 | |
| (212) 362-3470 | |
| Not Available |
| Full Name | Integrative Pain Medicine Nyc Pllc |
|---|---|
| Speciality | Pain Medicine - Interventional Pain Medicine |
| Location | 1041 3rd Ave, New York, New York |
| Authorized Official Name and Position | Adam J. Hedaya (OWNER) |
| Authorized Official Contact | 3015209336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Pain Medicine Nyc Pllc Po Box 270 Massapequa Park NY 11762-0270 Ph: (631) 264-2035 | Integrative Pain Medicine Nyc Pllc 1041 3rd Ave New York NY 10065-8114 Ph: (212) 362-3470 |
| NPI Number | 1043620230 |
|---|---|
| Provider Enumeration Date | 04/28/2014 |
| Last Update Date | 04/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043620230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 248213 (New York) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 248213 (New York) | Primary |
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