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Organization
PHYSICIAN PAIN TREATMENT ASSOCIATES, PC
Active
Organization
PHYSICIAN PAIN TREATMENT ASSOCIATES, PC
Active
Other names
New York Headache Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER MAUSKOP MD (DIRECTOR)
(212) 794-3550
Entity
Organization
Contact information
Practice address
30 E 76TH ST, 2ND FLOOR, NEW YORK, NY 10021-2700
(212) 794-3550
(212) 794-0591
Mailing address
30 E 76TH ST, 2ND FLOOR, NEW YORK, NY 10021-2700
(212) 794-3550
(212) 794-0591
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
154116
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
514878P
HIP
NY
01
—
6944712
CIGNA
NY
01
—
BKX077102
AMERICHOICE
NY
01
—
MA4116
ATLANTIS HEALTH PLAN
NY
01
—
N97030
MULTIPLAN
NY
Enumeration date
11/21/2006
Last updated
10/13/2009
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