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Organization
PAIN AND REHABILITATION MEDICAL SPECIALISTS, PC
Active
Organization
PAIN AND REHABILITATION MEDICAL SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN LEDON MD (PRESIDENT)
(516) 377-3332
Entity
Organization
Contact information
Practice address
73 GUY LOMBARDO AVE, FREEPORT, NY 11520-3714
(516) 377-3332
(516) 377-3844
Mailing address
73 GUY LOMBARDO AVE, FREEPORT, NY 11520-3714
(516) 377-3332
(516) 377-3844
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
221976
NY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
244683
NY
225100000X
Physical Therapist
026755
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02699567
—
NY
Enumeration date
09/14/2006
Last updated
09/04/2014
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