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Organization
GRAMERCY MEDICAL PAIN MANAGEMENT P.A.
Active
Organization
GRAMERCY MEDICAL PAIN MANAGEMENT P.A.
Active
Other names
Gramercy Pain Management P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT LAWRENCE GOTTLIEB M.D. (DIRECTOR)
(845) 368-0800
Entity
Organization
Contact information
Practice address
67 S MAIN ST, PEARL RIVER, NY 10965-2444
(845) 368-0800
(845) 368-0810
Mailing address
PO BOX 146, PEARL RIVER, NY 10965-0146
(845) 368-0800
(845) 368-0810
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
231296-1
NY
Other
Enumeration date
06/29/2008
Last updated
10/17/2014
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