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Organization
ORIGIN PAIN MANAGEMENT AND MEDICAL CARE, PLLC
Active
Organization
ORIGIN PAIN MANAGEMENT AND MEDICAL CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GETAHUN KIFLE MD (OWNER)
(718) 462-1100
Entity
Organization
Contact information
Practice address
486 LINCOLN PL, BROOKLYN, NY 11238-6202
(718) 462-1100
(718) 462-1900
Mailing address
110 LEAHY ST, JERICHO, NY 11753-1618
(718) 462-1100
(718) 462-1900
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
02/06/2008
Last updated
07/21/2022
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