# CREST PAIN MEDICINE P C

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

## Provider details

- **NPI number:** 1740709237
- **Authorized official:** DR. SUMEET GOSWAMI MD (PRESIDENT)
- **Authorized official phone:** (917) 331-5096

## Contact information

- **Practice address:** 115 E 57TH ST FL 16, NEW YORK, NY 10022-2098
- **Practice address phone:** (973) 866-0336
- **Mailing address:** 62 E 118TH ST APT 1, NEW YORK, NY 10035-4679

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 248127 | NY | Yes |

## Other

- **Enumeration date:** 09/15/2017
- **Last updated:** 09/15/2017
