# OSTEOPATHIC PAIN MANAGEMENT SERVICES LLC

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

## Provider details

- **NPI number:** 1831319870
- **Authorized official:** DR. KEVIN L HASTINGS JR. DO (PHYSCIAN OWNER)
- **Authorized official phone:** (607) 748-9001

## Contact information

- **Practice address:** 153 OAKDALE RD, JOHNSON CITY, NY 13790-1007
- **Practice address phone:** (607) 748-9001
- **Practice address fax:** (607) 748-8546
- **Mailing address:** 153 OAKDALE RD, JOHNSON CITY, NY 13790-1007
- **Mailing address phone:** (607) 748-9001
- **Mailing address fax:** (607) 748-8546

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | 200637 | NY | Yes |

## Other

- **Enumeration date:** 05/01/2007
- **Last updated:** 12/17/2019