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Organization
ISLAND INTERVENTIONAL PAIN MANAGEMENT PLLC
Active
Organization
ISLAND INTERVENTIONAL PAIN MANAGEMENT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJMANI KRISHNAN (MD)
(718) 302-1800
Entity
Organization
Contact information
Practice address
110 WILLIS AVE, MINEOLA, NY 11501-2620
(631) 864-7100
Mailing address
93 LONE OAK PATH, SMITHTOWN, NY 11787-4280
(631) 864-7100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
225329
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02551820
—
NY
Enumeration date
06/08/2015
Last updated
06/08/2015
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