Organization
MANHATTAN PAIN MEDICINE PROVIDER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT DALLMANN (BILLING MANAGER)
(845) 450-0211
Entity
Organization
Contact information
Practice address
2 5TH AVE STE 7, NEW YORK, NY 10011-8855
(845) 450-0211
Mailing address
2 5TH AVE STE 7, NEW YORK, NY 10011-8855
(845) 450-0211
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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