# RICHMOND INTERVENTIONAL PAIN MANAGEMENT PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Richmond Interventional Pain Management
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477912822
- **Authorized official:** MARIANNE DWYER (PRACTICE MANAGER)
- **Authorized official phone:** (718) 698-3900

## Contact information

- **Practice address:** 2066 RICHMOND AVE STE 202, STATEN ISLAND, NY 10314-3961
- **Practice address phone:** (718) 698-3900
- **Practice address fax:** (855) 564-5600
- **Mailing address:** 2066 RICHMOND AVE STE 202, STATEN ISLAND, NY 10314-3961
- **Mailing address phone:** (718) 698-3900
- **Mailing address fax:** (855) 564-5600

## Taxonomy

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

## Other

- **Enumeration date:** 02/14/2016
- **Last updated:** 02/16/2017