# INTERVENTIONAL MEDICAL P.C.

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

## Provider details

- **NPI number:** 1235481383
- **Authorized official:** DR. BILLY HANS FORD M.D. (PRINCIPAL OWNER)
- **Authorized official phone:** (718) 339-7500

## Contact information

- **Practice address:** 1575 E 19TH ST, BROOKLYN, NY 11230-7203
- **Practice address phone:** (718) 339-7500
- **Practice address fax:** (646) 961-4768
- **Mailing address:** 1575 E 19TH ST, BROOKLYN, NY 11230-7203
- **Mailing address phone:** (718) 339-7500
- **Mailing address fax:** (646) 961-4768

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | 182920 | NY | Yes |

## Other

- **Enumeration date:** 10/12/2012
- **Last updated:** 10/12/2012