Organization
ATLANTIC ANESTHESIA /PAIN MANAGEMENT MEDICAL SERVICES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DMITRY MIRONOV MD (PRESIDENT)
(212) 781-4720
Entity
Organization
Contact information
Practice address
436 FORT WASHINGTON AVE, SUITE 1H, NEW YORK, NY 10033-3507
(212) 781-4720
(212) 923-9585
Mailing address
436 FORT WASHINGTON AVE, SUITE 1H, NEW YORK, NY 10033-3507
(212) 781-4720
(212) 923-9585
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
214351
NY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
214351
—
Other
Enumeration date
09/24/2008
Last updated
08/04/2009
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