# MEDICAL PAIN CONSULTANTS,INC

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

## Provider details

- **NPI number:** 1396816963
- **Authorized official:** DR. RALPH ORTIZ DO (MEDICAL DIRECTOR)
- **Authorized official phone:** (607) 844-9979

## Contact information

- **Practice address:** 2127 DRYDEN RD, FREEVILLE, NY 13068-9611
- **Practice address phone:** (607) 844-9979
- **Practice address fax:** (607) 844-9066
- **Mailing address:** PO BOX 640, DRYDEN, NY 13053-0640
- **Mailing address phone:** (607) 844-9979
- **Mailing address fax:** (607) 844-9066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | 225765 | NY | Yes |

## Other

- **Enumeration date:** 11/13/2006
- **Last updated:** 08/22/2020