# NEW YORK PAIN MANAGEMENT PLLC

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

## Provider details

- **NPI number:** 1407884455
- **Authorized official:** CHARLES GORDON MD (PRESIDENT)
- **Authorized official phone:** (518) 371-0777

## Contact information

- **Practice address:** 9 OLD PLANK RD, CLIFTON PARK, NY 12065-3107
- **Practice address phone:** (518) 371-0777
- **Mailing address:** 9 OLD PLANK RD, SUITE 100, CLIFTON PARK, NY 12065-3107
- **Mailing address phone:** (518) 283-5418
- **Mailing address fax:** (518) 283-5421

## Taxonomy

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

## Other

- **Enumeration date:** 06/29/2006
- **Last updated:** 09/09/2011