# F THEMISTOCLE MD PC

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

## Provider details

- **NPI number:** 1780811141
- **Authorized official:** FENAR THEMOSTOCLE MD (OWNER)
- **Authorized official phone:** (718) 924-7909

## Contact information

- **Practice address:** 2445 ARTHUR AVE, BRONX, NY 10458-6003
- **Practice address phone:** (718) 924-7909
- **Mailing address:** 9601 SPRINGFIELD BLVD, QUEENS VILLAGE, NY 11429-1327
- **Mailing address phone:** (718) 924-7909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 217744 | NY | — |
| 208VP0000X | Pain Medicine Physician | 217774 | NY | Yes |
| 261QP3300X | Pain Clinic/Center | 217744 | NY | — |

## Other

- **Enumeration date:** 06/12/2009
- **Last updated:** 01/08/2010