Individual
MINDAUGAS PRANEVICIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 PELHAM PKWY S, RM. 1226, BRONX, NY 10461-1138
(718) 918-6865
(718) 918-7902
Mailing address
575 LEXINGTON AVE, NEW YORK, NY 10022-6102
(646) 962-6864
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
229793
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
229793
NY
207LP3000X
Pediatric Anesthesiology Physician
229793
NY
208VP0000X
Pain Medicine Physician
229793
NY
208VP0014X
Interventional Pain Medicine Physician
229793
NY
Other
Enumeration date
10/24/2006
Last updated
02/12/2025
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