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NEW YORK PAIN MANAGEMENT PLLC NPI 1407884455


NPI Information

NPI: 1407884455
Provider Name: NEW YORK PAIN MANAGEMENT PLLC
Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 33D0161442

Address:
9 OLD PLANK RD
CLIFTON PARK, NY
ZIP 12065
Phone: (518) 371-0777
Get Directions

NEW YORK PAIN MANAGEMENT PLLC is a pain medicine anesthesiology in Clifton Park, NY. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. NEW YORK PAIN MANAGEMENT PLLC NPI is 1407884455. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9 OLD PLANK RD
CLIFTON PARK, NY
ZIP 12065-107
Phone: (518) 371-0777

The provider's authorized official is Charles Gordon .
The authorized official title is President and has the following contact phone number (518) 371-0777.

The CLIA number assigned to this NPI record is 33D0161442 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/29/2006 and was last updated on 9/9/2011.


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
1207LP2900XAnesthesiologyPain MedicineYes

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
1A191535MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
2AA1535MEDICARE PINNEW YORK
3DA3878MEDICARE PINNEW 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: 5/5/2024

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