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Organization
EASTERN SUFFOLK SPINE AND PAIN MEDICINE, PLLC
Active
Organization
EASTERN SUFFOLK SPINE AND PAIN MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL PEARCE BROWN (OWNER)
(570) 814-4146
Entity
Organization
Contact information
Practice address
700 BOISSEAU AVE, SOUTHOLD, NY 11971-2926
(631) 477-5353
(631) 477-5891
Mailing address
3 FRANCES LN, PORT JEFFERSON, NY 11777-1125
(570) 814-4146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
Primary
—
—
207T00000X
Neurological Surgery Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
01/22/2024
Last updated
03/24/2026
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