Organization
KNOX PAIN MANAGEMENT MEDICAL PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY NEWCOMB (OFFICE)
(631) 736-4064
Entity
Organization
Contact information
Practice address
340 ROUTE 202, SOMERS, NY 10589-3237
(845) 254-1155
(631) 736-1332
Mailing address
340 ROUTE 202, SOMERS, NY 10589-3237
(845) 254-1155
(631) 736-1332
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05241869
—
NY
Enumeration date
08/30/2021
Last updated
09/09/2021
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