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Organization
PHYSICIAN PAIN TREATMENT ASSOCIATES, PC
Active
Organization
PHYSICIAN PAIN TREATMENT ASSOCIATES, PC
Active
Other names
New York Headache Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER MAUSKOP MD (DIRECTOR)
(212) 794-3550
Entity
Organization
Contact information
Practice address
132 ATLANTIC AVE, BROOKLYN, NY 11201-5502
(718) 935-9666
(718) 935-9667
Mailing address
132 ATLANTIC AVE, BROOKLYN, NY 11201-5502
(718) 935-9666
(718) 935-9667
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
208981
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171319
ELDER PLAN
NY
01
—
1763439
FIRST HEALTH
NY
01
—
2362189
AUSHC
NY
01
—
2509192
GHI
NY
01
—
33654P
HIP
NY
01
—
3953580002
CIGNA
NY
01
—
598281
BLUE CROSS BLUE SHIELD
NY
01
—
H01109
GUILD TIMES BENEFIT FUND
NY
01
—
MA8981
ATLANTIS HEALTH PLAN
NY
Enumeration date
11/21/2006
Last updated
08/22/2020
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