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Freeport Pain Managment Pc.
Specialist in Freeport, New York
NPI 1164751533

Freeport Pain Managment Pc. is a Specialist based in Freeport, NY. Freeport Pain Managment Pc. practices in Freeport, NY. The NPI Number for Freeport Pain Managment Pc. is 1164751533 and holds a License No. 212687 (New York).

The current practice location address for Freeport Pain Managment Pc. is 31 Guy Lombardo Ave, Freeport, NY and can be reached out via phone at 516-213-4610 and via fax at 516-213-4819.

Location: 31 Guy Lombardo Ave, Freeport, NY, 11520-3632
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164751533
Provider Name
Freeport Pain Managment Pc.
Credential
Provider Entity Type
Organization
Address
31 Guy Lombardo Ave, Freeport, NY, 11520-3632
Phone Number
516-213-4610
Fax Number
516-213-4819
Provider Enumeration Date
12/15/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02103506 05 NY
institution
Provider Business Practice Location Address Details
Address
31 Guy Lombardo Ave
City
Freeport
State
New York
Zip
11520-3632
Phone Number
516-213-4610
Fax Number
516-213-4819
person
Provider Business Mailing Address Details
Address
31 Guy Lombardo Ave
City
Freeport
State
New York
Zip
11520-3632
Phone Number
516-213-4610
Fax Number
516-213-4819
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
212687 (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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