# FINGER LAKES PAIN MANAGEMENT, LLC

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

## Provider details

- **NPI number:** 1639120009
- **Authorized official:** DR. DAVID L MEVORACH MD (OWNER)
- **Authorized official phone:** (607) 795-5015

## Contact information

- **Practice address:** 13 ITHACA STREET, HORSEHEADS, NY 14845
- **Practice address phone:** (607) 795-5015
- **Practice address fax:** (607) 795-5018
- **Mailing address:** 202 TAUGHANNOCK BLVD., PO BOX 366, ITHACA, NY 14851
- **Mailing address phone:** (607) 277-3257
- **Mailing address fax:** (607) 277-4056

## 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:** 05/12/2006
- **Last updated:** 02/01/2010