# ULTIMATE PAIN MANAGEMENT PHYSICIANS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003056367
- **Authorized official:** DR. DAVID MARSHAK M.D. (PHYSICIAN)
- **Authorized official phone:** (718) 292-7845

## Contact information

- **Practice address:** 391 E 149TH ST, SUITE 216, BRONX, NY 10455-3907
- **Practice address phone:** (718) 292-7845
- **Practice address fax:** (718) 292-7094
- **Mailing address:** 391 E 149TH ST, SUITE 216, BRONX, NY 10455-3907
- **Mailing address phone:** (718) 292-7845
- **Mailing address fax:** (718) 292-7094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202C00000X | Independent Medical Examiner Physician | 200019 | NY | — |
| 207L00000X | Anesthesiology Physician | 200019 | NY | — |
| 207LA0401X | Addiction Medicine (Anesthesiology) Physician | 200019 | NY | — |
| 207LH0002X | Hospice and Palliative Medicine (Anesthesiology) Physician | 200019 | NY | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 200019 | NY | Yes |
| 208D00000X | General Practice Physician | 200019 | NY | — |
| 208VP0000X | Pain Medicine Physician | 200019 | NY | — |
| 208VP0014X | Interventional Pain Medicine Physician | 200019 | NY | — |

## Other

- **Enumeration date:** 02/26/2009
- **Last updated:** 02/26/2009