# ISLAND MEDICAL PAIN RELIEF ,PC

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

## Provider details

- **NPI number:** 1083681662
- **Authorized official:** LUZ N DAVILA (MANAGER)
- **Authorized official phone:** (516) 565-4816

## Contact information

- **Practice address:** 33 FRONT ST, SUITE 302, HEMPSTEAD, NY 11550-3601
- **Practice address phone:** (516) 565-4816
- **Mailing address:** 33 FRONT ST, SUITE 302, HEMPSTEAD, NY 11550-3601
- **Mailing address phone:** (516) 565-4816

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 126276-1 | NY | Yes |

## Other

- **Enumeration date:** 03/02/2006
- **Last updated:** 08/22/2020