Organization
INTEGRATIVE PAIN & WELLNESS ASSOCIATES, LLC
Active
Other names
Pain Management Associates of WNY, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ROMANTH WAGHMARAE MD (MEDICAL DIRECTOR)
(716) 650-3000
Entity
Organization
Contact information
Practice address
1360 NORTH FOREST ROAD, SUITE 115, WILLIAMSVILLE, NY 14221-1200
(716) 650-3000
(716) 650-3090
Mailing address
1360 NORTH FOREST ROAD, SUITE 115, WILLIAMSVILLE, NY 14221-1200
(716) 650-3000
(716) 650-3090
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
183330-1
NY
208VP0000X
Pain Medicine Physician
183330-1
NY
208VP0000X
Pain Medicine Physician
Primary
258660-1
NY
Other
Enumeration date
09/28/2016
Last updated
10/30/2019
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