# REGENERATIVE PAIN CENTER OF NJ & NY

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

## Provider details

- **NPI number:** 1417595224
- **Authorized official:** DR. TODD S KOPPEL MD (PRESIDENT)
- **Authorized official phone:** (914) 666-8866

## Contact information

- **Practice address:** 119 W 57TH ST STE 717, NEW YORK, NY 10019-2302
- **Practice address phone:** (917) 797-9523
- **Mailing address:** 118 N BEDFORD RD STE 200, MOUNT KISCO, NY 10549-2555
- **Mailing address phone:** (914) 666-8866
- **Mailing address fax:** (914) 666-6777

## Taxonomy

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

## Other

- **Enumeration date:** 12/12/2019
- **Last updated:** 12/12/2019