FREEPORT PAIN MANAGMENT PC. NPI 1164751533

NPI Information

  • NPI: 1164751533
  • Provider Name: FREEPORT PAIN MANAGMENT PC.
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 31 GUY LOMBARDO AVE
    FREEPORT, NY
    ZIP 11520
  • Phone: (516) 213-4610

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NPI Details

FREEPORT PAIN MANAGMENT PC. is a specialist in Freeport, NY. The provider is 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. FREEPORT PAIN MANAGMENT PC. NPI is 1164751533. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

31 GUY LOMBARDO AVE
FREEPORT, NY
ZIP 11520-632
Phone: (516) 213-4610
Fax: (516) 213-4819

The provider's authorized official is Nidia R Carrero .
The authorized official title is Pain Managment and has the following contact phone number (516) 213-4610.

The enumeration date for this NPI number is 12/15/2009 and was last updated on 12/15/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist212687NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H10885MEDICARE PINNEW YORK
202103506MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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