Interventional & Multi-Disciplinary Pain Management
NPI #1538372297 in Stony Brook, New York
Provider Information
- NPI Number
- 1538372297
- Entity Type
- Organization
- Organization Name
- Interventional & Multi-Disciplinary Pain Management
- Primary Specialty
- Specialist
- Enumeration Date
- May 8, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2500 NESCONSET HWY
- Address 2
- BLDG 24C
- City
- Stony Brook
- State
- New York
- ZIP Code
- 11790-2555
- Phone
- (631) 444-0910
Authorized Official
- Name
- MRS. LAURINE ANN ERMISH, RN
- Title
- OFFICE MANAGER
- Phone
- (631) 941-0187
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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