# OMNI INTERVENTIONAL PAIN MANAGEMENT, PLLC

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

## Provider details

- **NPI number:** 1710292651
- **Authorized official:** DR. DIANE LAM M.D. (MEMBER)
- **Authorized official phone:** (917) 443-4719

## Contact information

- **Practice address:** 13620 38TH AVE, SUITE 8A, FLUSHING, NY 11354-4233
- **Practice address phone:** (917) 443-4719
- **Mailing address:** 13620 38TH AVE, SUITE 8A, FLUSHING, NY 11354-4233
- **Mailing address phone:** (917) 443-4719

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 250243 | NY | Yes |

## Other

- **Enumeration date:** 08/16/2010
- **Last updated:** 08/16/2010