# EASTERN SUFFOLK SPINE AND PAIN MEDICINE, PLLC

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

## Provider details

- **NPI number:** 1568223923
- **Authorized official:** DR. SAMUEL PEARCE BROWN (OWNER)
- **Authorized official phone:** (570) 814-4146

## Contact information

- **Practice address:** 700 BOISSEAU AVE, SOUTHOLD, NY 11971-2926
- **Practice address phone:** (631) 477-5353
- **Practice address fax:** (631) 477-5891
- **Mailing address:** 3 FRANCES LN, PORT JEFFERSON, NY 11777-1125
- **Mailing address phone:** (570) 814-4146

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |
| 207T00000X | Neurological Surgery Physician | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/22/2024
- **Last updated:** 03/24/2026