# PAIN MANAGEMENT OF RICHMOND COUNTY

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

## Provider details

- **NPI number:** 1073652467
- **Authorized official:** BRIAN ANTHONY MALONEY M.D. (MEDICAL OFFICIER)
- **Authorized official phone:** (718) 980-9840

## Contact information

- **Practice address:** 3225 VICTORY BLVD, STATEN ISLAND, NY 10314-6703
- **Practice address phone:** (718) 980-9840
- **Practice address fax:** (718) 980-9843
- **Mailing address:** 3225 VICTORY BLVD, STATEN ISLAND, NY 10314-6703
- **Mailing address phone:** (718) 980-9840
- **Mailing address fax:** (718) 980-9843

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | NY128904 | NY | Yes |

## Other

- **Enumeration date:** 02/05/2007
- **Last updated:** 08/22/2020
