Organization
ISLAND MEDICAL PAIN RELIEF ,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUZ N DAVILA (MANAGER)
(516) 565-4816
Entity
Organization
Contact information
Practice address
33 FRONT ST, SUITE 302, HEMPSTEAD, NY 11550-3601
(516) 565-4816
Mailing address
33 FRONT ST, SUITE 302, HEMPSTEAD, NY 11550-3601
(516) 565-4816
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
126276-1
NY
Other
Enumeration date
03/02/2006
Last updated
08/22/2020
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