Organization
PETRYCHENKO PAIN MANAGEMENT PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DMITRI PETRYCHENKO MD (PRESIDENT)
(929) 320-7481
Entity
Organization
Contact information
Practice address
2100 E HALLANDALE BEACH BLVD STE 210, HALLANDALE BEACH, FL 33009-3770
(212) 951-1238
(718) 336-5137
Mailing address
2100 E HALLANDALE BEACH BLVD STE 210, HALLANDALE BEACH, FL 33009-3770
(212) 951-1238
(718) 336-5137
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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