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Organization
STATEWIDE INTERVENTIONAL PAIN MEDICINE, P.C.
Active
Organization
STATEWIDE INTERVENTIONAL PAIN MEDICINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ADIN MD (PRESIDENT)
(718) 758-9600
Entity
Organization
Contact information
Practice address
3825 ASTORIA BLVD, ASTORIA, NY 11103-3608
(718) 758-9600
(718) 758-9602
Mailing address
300 MARCUS AVENUE, PO BOX 3757, LAKE SUCCESS, NY 11042
(718) 758-9600
(718) 758-9602
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
224928
NY
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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