# ISLAND MEDICAL PAIN MANAGEMENT SERVICES PC

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

## Provider details

- **NPI number:** 1295764140
- **Authorized official:** DR. NEIL KIRSCHEN MD (PRINCIPAL)
- **Authorized official phone:** (516) 764-7246

## Contact information

- **Practice address:** 77 N CENTRE AVE, SUITE 202, ROCKVILLE CENTRE, NY 11570-3923
- **Practice address phone:** (516) 764-7246
- **Practice address fax:** (516) 678-3525
- **Mailing address:** 265 SUNRISE HIGHWAY, UNIT \#1 PMB 348, ROCKVILLE CENTRE, NY 11570-4912
- **Mailing address phone:** (888) 877-3850
- **Mailing address fax:** (631) 329-6951

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 07/02/2006
- **Last updated:** 04/20/2008