# POMONA PAIN MANAGEMENT

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

## Provider details

- **NPI number:** 1750332128
- **Authorized official:** DR. LAWRENCE M. MODEL MD (DIRECTOR)
- **Authorized official phone:** (845) 354-6700

## Contact information

- **Practice address:** 11 MEDICAL PARK DR, SUITE 104, POMONA, NY 10970-3559
- **Practice address phone:** (845) 354-6700
- **Mailing address:** 11 MEDICAL PARK DR, SUITE 104, POMONA, NY 10970-3559
- **Mailing address phone:** (845) 354-6700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X0110912 | NY | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 1487973 | NY | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 1487973 | NY | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | 1487973 | NY | — |
| 261QP3300X | Pain Clinic/Center | 135753 | NY | — |

## Other

- **Enumeration date:** 05/12/2006
- **Last updated:** 09/11/2025