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Island Interventional Pain Management Pllc
Specialist in Mineola, New York
NPI 1033599683

Island Interventional Pain Management Pllc is a Specialist based in Smithtown, NY. Island Interventional Pain Management Pllc practices in Mineola, NY. The NPI Number for Island Interventional Pain Management Pllc is 1033599683 and holds a License No. 225329 (New York).

The current practice location address for Island Interventional Pain Management Pllc is 110 Willis Ave, Mineola, NY and can be reached out via phone at 631-864-7100.

Location: 110 Willis Ave, Mineola, NY, 11787-4280
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033599683
Provider Name
Island Interventional Pain Management Pllc
Credential
Provider Entity Type
Organization
Address
110 Willis Ave, Mineola, NY, 11787-4280
Phone Number
631-864-7100
Fax Number
Provider Enumeration Date
06/08/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02551820 05 NY
institution
Provider Business Practice Location Address Details
Address
110 Willis Ave
City
Mineola
State
New York
Zip
11501-2620
Phone Number
631-864-7100
Fax Number
person
Provider Business Mailing Address Details
Address
110 Willis Ave
City
Mineola
State
New York
Zip
11501-2620
Phone Number
631-864-7100
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
225329 (New York)
Definition
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.
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