Organization
INTEGRATED INTERVENTIONAL PAIN MANAGEMENT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARISTIDE BURDUCEA DO (PRESIDENT)
(516) 426-3031
Entity
Organization
Contact information
Practice address
20712 NORTHERN BLVD STE 3, BAYSIDE, NY 11361-3108
(929) 400-2542
Mailing address
20712 NORTHERN BLVD STE 3, BAYSIDE, NY 11361-3108
(929) 400-2542
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
243366
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03032322
—
NY
Enumeration date
07/06/2018
Last updated
07/28/2020
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