Organization
PAIN MANAGEMENT MEDICAL CONSULTANT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALAA BAHGAT HOUSNY M.D. (OWNER)
(718) 986-4075
Entity
Organization
Contact information
Practice address
1555 ROCKAWAY PKWY, BROOKLYN, NY 11236-4001
(718) 927-6300
(718) 927-6301
Mailing address
PO BOX 270, MASSAPEQUA PARK, NY 11762-0270
(631) 264-2035
(631) 264-1418
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
227390
NY
208VP0014X
Interventional Pain Medicine Physician
Primary
227390
NY
Other
Enumeration date
06/10/2011
Last updated
06/10/2011
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