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SOUTHERN NEW YORK NEUROSURGICAL GROUP NPI 1568571834


NPI Information

NPI: 1568571834
Provider Name: SOUTHERN NEW YORK NEUROSURGICAL GROUP

Doing Business As: COMPREHENSIVE PAIN RELIEF

Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
200 FRONT ST
VESTAL, NY
ZIP 13850
Phone: (607) 748-7468
Get Directions

SOUTHERN NEW YORK NEUROSURGICAL GROUP is a pain medicine physical medicine rehabilitation in Vestal, NY. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. SOUTHERN NEW YORK NEUROSURGICAL GROUP NPI is 1568571834. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Comprehensive Pain Relief.

The provider's business location address is:

200 FRONT ST
VESTAL, NY
ZIP 13850-559
Phone: (607) 748-7468
Fax: (607) 754-6130

The provider's authorized official is David Kammerman .
The authorized official title is Pain Specialist and has the following contact phone number (607) 748-7468.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 10/22/2013.


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
12081P2900XPhysical Medicine & RehabilitationPain 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
101376512MEDICAIDNEW YORK
234664AMEDICARE 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: 4/28/2024

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