State Street Medical Pllc
NPI #1972256691 in Saint James, New York
Provider Information
- NPI Number
- 1972256691
- Entity Type
- Organization
- Organization Name
- State Street Medical Pllc
- Primary Specialty
- Pain Medicine - Pain Medicine
- Enumeration Date
- Feb 2, 2022
- Last Updated
- Dec 8, 2022
Practice Location
- Address
- 555 N COUNTRY RD
- City
- Saint James
- State
- New York
- ZIP Code
- 11780-1444
- Phone
- (631) 862-1737
Authorized Official
- Name
- STEPHEN LITVAK
- Title
- OWNER
- Phone
- (516) 851-6087
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pain Medicine - Pain Medicine — Pain Medicine |
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