Organization
INTEGRATED PAIN MANAGEMENT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JINGHUI XIE MD, PHD (OWNER, PHYSICIAN)
(347) 763-1091
Entity
Organization
Contact information
Practice address
4602 6TH AVE, BROOKLYN, NY 11220-1317
(347) 763-1091
(347) 763-1092
Mailing address
4602 6TH AVE, BROOKLYN, NY 11220-1317
(347) 763-1091
(347) 763-1092
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
267042
NY LICENSE
NY
Enumeration date
06/02/2014
Last updated
03/07/2023
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