Organization
PAIN MANAGEMENT MEDICAL ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENGAMEH ARDALAN M.D. (OWNER)
(347) 724-2168
Entity
Organization
Contact information
Practice address
7568 187TH ST, FRESH MEADOWS, NY 11366-1726
(718) 576-1999
Mailing address
57-55 HEWLETT STREET, LITTLE NECK, NY 11362
(718) 576-1999
(718) 423-2511
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
04/08/2011
Last updated
05/19/2013
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