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Mineola Interventional Pain Management Pllc
Specialist in Mineola, New York
NPI 1518193846

Mineola Interventional Pain Management Pllc is a Specialist based in Mineola, NY. Mineola Interventional Pain Management Pllc practices in Mineola, NY. The NPI Number for Mineola Interventional Pain Management Pllc is 1518193846 and holds a License No. 169195 (New York).

The current practice location address for Mineola Interventional Pain Management Pllc is 184 Old Country Rd, Mineola, NY and can be reached out via phone at 516-294-4457 and via fax at 516-294-5871.

Location: 184 Old Country Rd, Mineola, NY, 11501-4223
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518193846
Provider Name
Mineola Interventional Pain Management Pllc
Credential
Provider Entity Type
Organization
Address
184 Old Country Rd, Mineola, NY, 11501-4223
Phone Number
516-294-4457
Fax Number
516-294-5871
Provider Enumeration Date
06/01/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01067183 05 NY
institution
Provider Business Practice Location Address Details
Address
184 Old Country Rd
City
Mineola
State
New York
Zip
11501-4223
Phone Number
516-294-4457
Fax Number
516-294-5871
person
Provider Business Mailing Address Details
Address
184 Old Country Rd
City
Mineola
State
New York
Zip
11501-4223
Phone Number
516-294-4457
Fax Number
516-294-5871
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
169195 (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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