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PAIN TREATMENT MEDICINE OF THE FINGER LAKES PLLC NPI 1477548360


NPI Information

NPI: 1477548360
Provider Name: PAIN TREATMENT MEDICINE OF THE FINGER LAKES PLLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
30 HAGEN DR
SUITE 230
ROCHESTER, NY
ZIP 14625
Phone: (585) 899-3450
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PAIN TREATMENT MEDICINE OF THE FINGER LAKES PLLC is an interventional pain medicine pain medicine in Rochester, 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. PAIN TREATMENT MEDICINE OF THE FINGER LAKES PLLC NPI is 1477548360. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

30 HAGEN DR
SUITE 230
ROCHESTER, NY
ZIP 14625-658
Phone: (585) 899-3450
Fax: (585) 899-3454

The provider's authorized official is Donovan O Holder .
The authorized official title is Owner and has the following contact phone number (585) 899-3450.

The enumeration date for this NPI number is 9/16/2005 and was last updated on 1/30/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208VP0014XPain MedicineInterventional Pain 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DC0842OTHERRRMCR
2BA0167MEDICARE ID-TYPE UNSPECIFIED
3DC0842MEDICARE PIN
402618835MEDICAIDNEW 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: 4/28/2024

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