Mineola Interventional Pain Management Pllc

NPI #1518193846 in Mineola, New York

Provider Information

NPI Number: 1518193846
Entity Type: Organization
Organization Name: Mineola Interventional Pain Management Pllc
Primary Specialty: Specialist
Enumeration Date: Jun 1, 2009
Last Updated: Jun 1, 2009

Practice Location

Address: 184 OLD COUNTRY RD
City: Mineola
State: New York
ZIP Code: 11501-4223
Phone: (516) 294-4457

Authorized Official

Name: MRS. BARBARA DUDLEY
Title: BILLING MANAGER
Phone: (516) 294-4457

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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