Organization
OSTEOPATHIC PAIN MANAGEMENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN L HASTINGS JR. DO (PHYSCIAN OWNER)
(607) 748-9001
Entity
Organization
Contact information
Practice address
153 OAKDALE RD, JOHNSON CITY, NY 13790-1007
(607) 748-9001
(607) 748-8546
Mailing address
153 OAKDALE RD, JOHNSON CITY, NY 13790-1007
(607) 748-9001
(607) 748-8546
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
200637
NY
Other
Enumeration date
05/01/2007
Last updated
12/17/2019
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