Organization
MEDICAL PAIN MANAGEMENT SERVICES, PLLC
Active
Other names
The Albany Center for Pain Mgmt
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA HARRIS (BILLING SUPERVISOR)
(518) 463-0171
Entity
Organization
Contact information
Practice address
116 EVERETT RD, ALBANY, NY 12205-1427
(518) 463-0171
(514) 463-0174
Mailing address
116 EVERETT RD, ALBANY, NY 12205-1427
(518) 463-0171
(514) 463-0174
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
191595
NY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
237045-1
NY
208VP0000X
Pain Medicine Physician
—
NY
208VP0014X
Interventional Pain Medicine Physician
—
NY
363A00000X
Physician Assistant
—
NY
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4868
CDPHP
NY
01
—
5508704
GHI PPO GROUP #
NY
Enumeration date
05/22/2006
Last updated
10/10/2024
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