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Organization

ISLAND MEDICAL PAIN MANAGEMENT SERVICES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NEIL KIRSCHEN MD (PRINCIPAL)
(516) 764-7246
Entity
Organization

Contact information

Practice address
77 N CENTRE AVE, SUITE 202, ROCKVILLE CENTRE, NY 11570-3923
(516) 764-7246
(516) 678-3525
Mailing address
265 SUNRISE HIGHWAY, UNIT #1 PMB 348, ROCKVILLE CENTRE, NY 11570-4912
(888) 877-3850
(631) 329-6951

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
208VP0014X
Interventional Pain Medicine Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AZ00799A
MDNY
NY
01
CA7429
RAILROAD MEDICARE
Enumeration date
07/02/2006
Last updated
04/20/2008
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