# INTEGRATIVE PAIN & WELLNESS ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pain Management Associates of WNY, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689123929
- **Authorized official:** ROMANTH WAGHMARAE MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (716) 650-3000

## Contact information

- **Practice address:** 1360 NORTH FOREST ROAD, SUITE 115, WILLIAMSVILLE, NY 14221-1200
- **Practice address phone:** (716) 650-3000
- **Practice address fax:** (716) 650-3090
- **Mailing address:** 1360 NORTH FOREST ROAD, SUITE 115, WILLIAMSVILLE, NY 14221-1200
- **Mailing address phone:** (716) 650-3000
- **Mailing address fax:** (716) 650-3090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084N0400X | Neurology Physician | 183330-1 | NY | — |
| 208VP0000X | Pain Medicine Physician | 183330-1 | NY | — |
| 208VP0000X | Pain Medicine Physician | 258660-1 | NY | Yes |

## Other

- **Enumeration date:** 09/28/2016
- **Last updated:** 10/30/2019