Organization
REGIONAL ORTHOPAEDICS & PAIN MANAGEMENT,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY WIENER M.D. (MANAGING PARTNER)
(845) 673-1080
Entity
Organization
Contact information
Practice address
75 CRYSTAL RUN RD, SUITE 206, MIDDLETOWN, NY 10941-7000
(845) 673-1080
(845) 673-5320
Mailing address
75 CRYSTAL RUN RD, SUITE 206, MIDDLETOWN, NY 10941-7000
(845) 673-1080
(845) 673-5320
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
200402
NY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
202061
NY
363LA2100X
Acute Care Nurse Practitioner
430282
NY
Other
Enumeration date
02/08/2013
Last updated
06/06/2014
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