NY PREMIER MEDICAL PRACTICE PC NPI 1881986743

NPI Information

  • NPI: 1881986743
  • Provider Name: NY PREMIER MEDICAL PRACTICE, PC
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Organization
  • Doing Business As: NY SPINE CARE INTERVENTIONAL PAIN MANAGEMENT
  • CLIA Number: 33D2028151
  • Address: 188-16 NORTHERN BLVD
    FLUSHING, NY
    ZIP 11358
  • Phone: (718) 762-7000

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NPI Details

NY PREMIER MEDICAL PRACTICE, PC is an interventional pain medicine pain medicine in Flushing, 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. NY PREMIER MEDICAL PRACTICE, PC NPI is 1881986743. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ny Spine Care Interventional Pain Management.

The provider's business location address is:

188-16 NORTHERN BLVD
FLUSHING, NY
ZIP 11358-811
Phone: (718) 762-7000
Fax: (718) 762-7002

The provider's authorized official is Michael I Jo .
The authorized official title is Office Manager and has the following contact phone number (347) 804-7532.

The CLIA number assigned to this NPI record is 33D2028151 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/11/2011 and was last updated on 8/1/2023.

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 Medicine232226NEW YORKYes

What is NPI?

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

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