# NEW MILLENNIUM PAIN AND SPINE MEDICINE, PLLC

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

## Provider details

- **NPI number:** 1033485321
- **Authorized official:** DR. PAUL M MANADAN M.D. (OWNER)
- **Authorized official phone:** (646) 397-3343

## Contact information

- **Practice address:** 10216 101ST AVE, OZONE PARK, NY 11416-2622
- **Practice address phone:** (646) 397-3343
- **Practice address fax:** (646) 329-9741
- **Mailing address:** PO BOX 1828, MURRAY HILL STATION, NEW YORK, NY 10156-1828
- **Mailing address phone:** (646) 415-4661
- **Mailing address fax:** (646) 329-9741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 238177 | NY | Yes |

## Other

- **Enumeration date:** 03/30/2012
- **Last updated:** 03/30/2012