Organization
CREST PAIN MEDICINE P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUMEET GOSWAMI MD (PRESIDENT)
(917) 331-5096
Entity
Organization
Contact information
Practice address
115 E 57TH ST FL 16, NEW YORK, NY 10022-2098
(973) 866-0336
Mailing address
62 E 118TH ST APT 1, NEW YORK, NY 10035-4679
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
248127
NY
Other
Enumeration date
09/15/2017
Last updated
09/15/2017
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