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Organization
ACUTE AND CHRONIC PAIN MANAGEMENT AND MEDICINE
Active
Organization
ACUTE AND CHRONIC PAIN MANAGEMENT AND MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYMAN ROUSHDY FARAG MD (MEDICAL DIRECTOR)
(347) 286-0741
Entity
Organization
Contact information
Practice address
11 RALPH PL STE 204, STATEN ISLAND, NY 10304-4405
(347) 286-0741
(718) 228-9845
Mailing address
731 JOHNSTON TER, STATEN ISLAND, NY 10309-3917
(347) 286-0741
(718) 228-9845
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
NULL
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
08/13/2009
Last updated
02/25/2026
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