Active NPIOrganization

Y A Anesthesia Pain Management PLLC

Pain Medicine, Interventional Pain Medicine in Staten Island, New York

NPI Number1104143361
Practice location
3930 Richmond Ave, Suite 101, Staten Island, NY 10312-5104
Fax
732-847-3062
Last updated
December 8, 2014

Y A Anesthesia Pain Management PLLC is a healthcare organization based in Staten Island, NY. Y A Anesthesia Pain Management PLLC practices in Staten Island, NY. The NPI Number for Y A Anesthesia Pain Management PLLC is 1104143361 and holds a License No. 209053 (NY). The current practice location address for Y A Anesthesia Pain Management PLLC is 3930 Richmond Ave, Suite 101, Staten Island, NY 10312-5104 and can be reached out via phone at 917-414-0617 and via fax at 732-847-3062.

Provider Profile Details

NPI Number
1104143361
Provider Name
Y A Anesthesia Pain Management PLLC
Provider Entity Type
Organization
Address
3930 Richmond Ave, Suite 101, Staten Island, NY 10312-5104
Phone Number
917-414-0617
Fax Number
732-847-3062
Primary Taxonomy
Pain Medicine, Interventional Pain Medicine · 208VP0014X
Organization Subpart
No
Authorized Official
Yvette R Abraham, MD · Owner · 917-414-0617
Provider Enumeration Date
April 28, 2010
Last Update Date
December 8, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
3930 Richmond Ave
Suite 101
Staten Island, NY 10312-5104
Zip
10312-5104
Phone Number
917-414-0617
Fax Number
732-847-3062
Staten Island, NY 10312Get directions →

Provider Business Mailing Address Details

Address
5 Oakwood CT
Holmdel, NJ 07733-1753
City
Holmdel
State
NJ
Zip
07733-1753
Phone Number
917-414-0617
Fax Number
732-847-3062

License Information

License Number
209053
License State
NY
Taxonomy
Pain Medicine, Interventional Pain Medicine · 208VP0014X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Y A Anesthesia Pain Management PLLC?

The NPI number of Y A Anesthesia Pain Management PLLC is 1104143361. It was assigned on April 28, 2010 and is currently active in the NPPES registry.

What is the specialty of Y A Anesthesia Pain Management PLLC?

Y A Anesthesia Pain Management PLLC is registered under the primary taxonomy Pain Medicine, Interventional Pain Medicine (code 208VP0014X), licensed in NY under license number 209053.

Where does Y A Anesthesia Pain Management PLLC practice?

The practice location is 3930 Richmond Ave, Suite 101, Staten Island, NY 10312-5104. The office can be reached at 917-414-0617 (phone) or 732-847-3062 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104143361 directly on the NPPES registry website.

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