# ACUTE AND CHRONIC PAIN MANAGEMENT AND MEDICINE

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

## Provider details

- **NPI number:** 1518199264
- **Authorized official:** AYMAN ROUSHDY FARAG MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (347) 286-0741

## Contact information

- **Practice address:** 11 RALPH PL STE 204, STATEN ISLAND, NY 10304-4405
- **Practice address phone:** (347) 286-0741
- **Practice address fax:** (718) 228-9845
- **Mailing address:** 731 JOHNSTON TER, STATEN ISLAND, NY 10309-3917
- **Mailing address phone:** (347) 286-0741
- **Mailing address fax:** (718) 228-9845

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/13/2009
- **Last updated:** 02/25/2026