# MEDICAL PAIN MANAGEMENT SERVICES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Albany Center for Pain Mgmt
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215981261
- **Authorized official:** MELISSA HARRIS (BILLING SUPERVISOR)
- **Authorized official phone:** (518) 463-0171

## Contact information

- **Practice address:** 116 EVERETT RD, ALBANY, NY 12205-1427
- **Practice address phone:** (518) 463-0171
- **Practice address fax:** (514) 463-0174
- **Mailing address:** 116 EVERETT RD, ALBANY, NY 12205-1427
- **Mailing address phone:** (518) 463-0171
- **Mailing address fax:** (514) 463-0174

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 191595 | NY | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 237045-1 | NY | — |
| 208VP0000X | Pain Medicine Physician | — | NY | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | NY | — |
| 363A00000X | Physician Assistant | — | NY | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/22/2006
- **Last updated:** 10/10/2024