Organization
PAIN MANAGEMENT OF RICHMOND COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN ANTHONY MALONEY M.D. (MEDICAL OFFICIER)
(718) 980-9840
Entity
Organization
Contact information
Practice address
3225 VICTORY BLVD, STATEN ISLAND, NY 10314-6703
(718) 980-9840
(718) 980-9843
Mailing address
3225 VICTORY BLVD, STATEN ISLAND, NY 10314-6703
(718) 980-9840
(718) 980-9843
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
NY128904
NY
Other
Enumeration date
02/05/2007
Last updated
08/22/2020
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