GARDEN STATE NEURO STIMULATION LLC NPI 1457610867

NPI Information

  • NPI: 1457610867
  • Provider Name: GARDEN STATE NEURO STIMULATION LLC
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Organization
  • Address: 3657 ALBANY POST RD
    POUGHKEEPSIE, NY
    ZIP 12601
  • Phone: (212) 430-0312

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NPI Details

GARDEN STATE NEURO STIMULATION LLC is an interventional pain medicine pain medicine in Poughkeepsie, NY. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. GARDEN STATE NEURO STIMULATION LLC NPI is 1457610867. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3657 ALBANY POST RD
POUGHKEEPSIE, NY
ZIP 12601-177
Phone: (212) 430-0312
Fax: (908) 934-9298

The provider's authorized official is Sukdeb Datta .
The authorized official title is President and has the following contact phone number (615) 479-4692.

The enumeration date for this NPI number is 5/7/2012 and was last updated on 5/7/2012.

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
1208VP0014XPain MedicineInterventional Pain Medicine2590151NEW YORKYes

What is NPI?

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

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