Organization
EAST END PAIN MANAGEMENT, LLC
Active
Other names
East End Pain Center
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN J. GARGIULO M.D. (MEDICAL DIRECTOR)
(631) 702-2300
Entity
Organization
Contact information
Practice address
365 COUNTY ROAD 39A, SUITE 15 & 16, SOUTHAMPTON, NY 11968
(631) 702-2300
(631) 702-2303
Mailing address
365 COUNTY ROAD 39A, SUITE 15 & 16, SOUTHAMPTON, NY 11968
(631) 702-2300
(631) 702-2303
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
361034200
FEDERAL WORKERS COMP
—
01
—
DA6752
RR MEDICARE
—
Enumeration date
05/26/2006
Last updated
02/16/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us