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Organization

POMONA PAIN MANAGEMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAWRENCE M. MODEL MD (DIRECTOR)
(845) 354-6700
Entity
Organization

Contact information

Practice address
11 MEDICAL PARK DR, SUITE 104, POMONA, NY 10970-3559
(845) 354-6700
Mailing address
11 MEDICAL PARK DR, SUITE 104, POMONA, NY 10970-3559
(845) 354-6700

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
X0110912
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1487973
NY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
1487973
NY
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
1487973
NY
261QP3300X
Pain Clinic/Center
135753
NY

Other

Enumeration date
05/12/2006
Last updated
09/11/2025
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