Organization
EMPIRE STATE PAIN & NEURO ,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL MICHAEL THEAGENE M.D. (PRESIDENT)
(631) 654-1120
Entity
Organization
Contact information
Practice address
659 SUFFOLK AVE, BRENTWOOD, NY 11717-4413
(631) 654-1120
(631) 654-1681
Mailing address
659 SUFFOLK AVE, BRENTWOOD, NY 11717-4413
(631) 654-1120
(631) 654-1681
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
914218
NY
Other
Enumeration date
02/23/2012
Last updated
03/20/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us