Freeport Pain Managment Pc.

NPI #1164751533 in Freeport, New York

Provider Information

NPI Number: 1164751533
Entity Type: Organization
Organization Name: Freeport Pain Managment Pc.
Primary Specialty: Specialist
Enumeration Date: Dec 15, 2009
Last Updated: Dec 15, 2009

Practice Location

Address: 31 GUY LOMBARDO AVE
City: Freeport
State: New York
ZIP Code: 11520-3632
Phone: (516) 213-4610

Authorized Official

Name: MRS. NIDIA R CARRERO, MD
Title: PAIN MANAGMENT
Phone: (516) 213-4610

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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