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Organization
NEW YORK PAIN MANAGEMENT SERVICES PC
Active
Organization
NEW YORK PAIN MANAGEMENT SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VADIM KUSHNERIK M.D. (PRESIDENT)
(718) 858-3335
Entity
Organization
Contact information
Practice address
360 COURT ST, SUITE 3, BROOKLYN, NY 11231-4353
(718) 858-3335
(718) 858-3229
Mailing address
PO BOX 5170, NEW YORK, NY 10087-5170
(718) 422-5023
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
NULL
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
05/23/2006
Last updated
11/02/2011
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