# EASTERN PAIN MEDICINE PC

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

## Provider details

- **NPI number:** 1831475896
- **Authorized official:** MRS. VIMALA UPADHYAYULA (MANAGER)
- **Authorized official phone:** (845) 471-0014

## Contact information

- **Practice address:** 1003 MAIN ST, FISHKILL, NY 12524-1786
- **Practice address phone:** (845) 471-0013
- **Practice address fax:** (845) 613-2493
- **Mailing address:** 1003 MAIN ST, FISHKILL, NY 12524-1786
- **Mailing address phone:** (845) 471-0013
- **Mailing address fax:** (845) 613-2493

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 225874 | NY | Yes |

## Other

- **Enumeration date:** 10/21/2011
- **Last updated:** 03/25/2020