# TRINITY PAIN MANAGEMENT OF STATEN ISLAND, PLLC

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

## Provider details

- **NPI number:** 1174912083
- **Authorized official:** YVETTE ABRAHAM M.D. (PRESIDENT)
- **Authorized official phone:** (718) 966-1313

## Contact information

- **Practice address:** 3930 RICHMOND AVE, SUITE 101, STATEN ISLAND, NY 10312-5104
- **Practice address phone:** (718) 966-1313
- **Mailing address:** 5 OAKWOOD CT, HOLMDEL, NJ 07733-1753
- **Mailing address phone:** (718) 966-1313
- **Mailing address fax:** (718) 966-1360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 209053 | NY | — |
| 208VP0000X | Pain Medicine Physician | 209053 | NY | Yes |

## Other

- **Enumeration date:** 01/15/2015
- **Last updated:** 02/12/2015