# NEW YORK INTERVENTIONAL PAIN MEDICINE SERVICE, PC

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

## Provider details

- **NPI number:** 1427376896
- **Authorized official:** JULIAN SOSNER MD (OWNER)
- **Authorized official phone:** (212) 633-1249

## Contact information

- **Practice address:** 36 7TH AVE STE 411, NEW YORK, NY 10011-6688
- **Practice address phone:** (212) 633-1249
- **Practice address fax:** (212) 633-2608
- **Mailing address:** 36 7TH AVE STE 411, NEW YORK, NY 10011-6688
- **Mailing address phone:** (212) 633-1249
- **Mailing address fax:** (212) 633-2608

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 3402 | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 3402 | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 599 | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 599 | — | Yes |

## Other

- **Enumeration date:** 05/11/2010
- **Last updated:** 08/26/2010