# ADVANTAGE P M & R LLC

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

## Provider details

- **NPI number:** 1538222740
- **Authorized official:** MARY E VINCENT (BILLING SPECIALIST)
- **Authorized official phone:** (845) 344-4477

## Contact information

- **Practice address:** 60 DUNNING RD, MIDDLETOWN, NY 10940
- **Practice address phone:** (845) 344-4477
- **Practice address fax:** (845) 344-6072
- **Mailing address:** 60 DUNNING RD, MIDDLETOWN, NY 10940-2215
- **Mailing address phone:** (845) 344-4477
- **Mailing address fax:** (845) 344-6072

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 2175981 | NY | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 1928462 | NY | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2005021 | NY | Yes |

## Other

- **Enumeration date:** 12/18/2006
- **Last updated:** 11/01/2011