Organization
NEW YORK PAIN RELIEF MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUELANE DO OURO M.D. (OWNER/PHYSICIAN)
(917) 724-1886
Entity
Organization
Contact information
Practice address
1673 SHERBOURNE RD, VALLEY STREAM, NY 11580-1829
(917) 724-1886
(347) 227-1368
Mailing address
1673 SHERBOURNE RD, VALLEY STREAM, NY 11580-1829
(917) 724-1886
(347) 227-1368
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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