# ORIGIN PAIN MANAGEMENT AND MEDICAL CARE, PLLC

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

## Provider details

- **NPI number:** 1871771402
- **Authorized official:** DR. GETAHUN KIFLE MD (OWNER)
- **Authorized official phone:** (718) 462-1100

## Contact information

- **Practice address:** 486 LINCOLN PL, BROOKLYN, NY 11238-6202
- **Practice address phone:** (718) 462-1100
- **Practice address fax:** (718) 462-1900
- **Mailing address:** 110 LEAHY ST, JERICHO, NY 11753-1618
- **Mailing address phone:** (718) 462-1100
- **Mailing address fax:** (718) 462-1900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/06/2008
- **Last updated:** 07/21/2022