Organization
ACUTE AND CHRONIC PAIN MANAGEMENT AND MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYMAN ROUSHDY FARAG MD (MEDICAL DIRECTOR)
(347) 286-0741
Entity
Organization
Contact information
Practice address
11 RALPH PL STE 204, STATEN ISLAND, NY 10304-4405
(347) 286-0741
(718) 228-9845
Mailing address
731 JOHNSTON TER, STATEN ISLAND, NY 10309-3917
(347) 286-0741
(718) 228-9845
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
08/13/2009
Last updated
02/25/2026
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