Organization
FINGER LAKES PAIN MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID L MEVORACH MD (OWNER)
(607) 795-5015
Entity
Organization
Contact information
Practice address
13 ITHACA STREET, HORSEHEADS, NY 14845
(607) 795-5015
(607) 795-5018
Mailing address
202 TAUGHANNOCK BLVD., PO BOX 366, ITHACA, NY 14851
(607) 277-3257
(607) 277-4056
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
05/12/2006
Last updated
02/01/2010
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