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Organization
INTEGRATED MUSCULOSKELETAL & SPINE GROUP, PLLC
Active
Organization
INTEGRATED MUSCULOSKELETAL & SPINE GROUP, PLLC
Active
Other names
The Pain Group Specializing in Pain Mgmt & Rehab Medicine, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN LEDON MD (PRESIDENT)
(516) 377-3332
Entity
Organization
Contact information
Practice address
73 GUY LOMBARDO AVE, FREEPORT, NY 11520-3714
(516) 377-3332
(516) 377-3844
Mailing address
73 GUY LOMBARDO AVE, FREEPORT, NY 11520-3714
(516) 377-3332
(516) 377-3844
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
08/16/2019
Last updated
02/22/2021
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