Organization
MEDICAL PAIN CONSULTANTS,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH ORTIZ DO (MEDICAL DIRECTOR)
(607) 844-9979
Entity
Organization
Contact information
Practice address
2127 DRYDEN RD, FREEVILLE, NY 13068-9611
(607) 844-9979
(607) 844-9066
Mailing address
PO BOX 640, DRYDEN, NY 13053-0640
(607) 844-9979
(607) 844-9066
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
225765
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02365795
—
NY
Enumeration date
11/13/2006
Last updated
08/22/2020
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