# CENTRAL PENN INTERVENTIONAL PAIN MEDICINE

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

## Provider details

- **NPI number:** 1871764993
- **Authorized official:** DR. SHIYI ABLA-YAO M.D. (OWNER)
- **Authorized official phone:** (570) 490-1498

## Contact information

- **Practice address:** 451 RIVER AVE, WILLIAMSPORT, PA 17701-3722
- **Practice address phone:** (570) 490-1498
- **Mailing address:** PO BOX 99, WINFIELD, PA 17889-0099
- **Mailing address phone:** (570) 490-1498

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | MD057849L | PA | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | MD057849L | PA | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | MD057849L | PA | — |

## Other

- **Enumeration date:** 03/17/2008
- **Last updated:** 03/20/2014