Organization
NJ NAPA PAIN MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH BERNOCCO (SENIOR CREDENTIALING SPECIALIST)
(516) 945-3163
Entity
Organization
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-2000
Mailing address
68 S SERVICE RD STE 350, MELVILLE, NY 11747-2358
(516) 945-3000
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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