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Organization

PAINFREE IV LTD

Active
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Organization

PAINFREE IV LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AVISHAI T NEUMAN (TREASURER)
(718) 222-5999
Entity
Organization

Contact information

Practice address
4604 31ST AVE, ASTORIA, NY 11103-1842
(718) 222-5999
Mailing address
811 WILSON ST, VALLEY STREAM, NY 11581-3527
(718) 222-5999

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
245594-1
LICENSE
NY
Enumeration date
03/22/2012
Last updated
03/22/2012
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