# WARREN PAIN CLINIC AND ACUPUNCTURE CENTER, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1255352241
- **Authorized official:** DR. MOHAMED KOURTU MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (814) 726-7365

## Contact information

- **Practice address:** 103 WEST ST. CLAIR STREET, SUITE 2C, WARREN, PA 16365-2188
- **Practice address phone:** (814) 726-7365
- **Practice address fax:** (814) 726-7369
- **Mailing address:** 908 NIAGARA FALLS BLVD, SUITE 208, NORTH TONAWANDA, NY 14120-2019
- **Mailing address phone:** (716) 692-2160
- **Mailing address fax:** (716) 213-0935

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | MD049485L | PA | Yes |

## Other

- **Enumeration date:** 07/22/2006
- **Last updated:** 04/24/2014