Organization
EAST RIVER MEDICAL ASSOCIATES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILENE BACINE (ASSISTANT DIRECTOR)
(212) 774-7369
Entity
Organization
Contact information
Practice address
535 EAST 70TH STREET, NEW YORK, NY 10021-4823
(212) 774-7369
(212) 517-4481
Mailing address
GPO BOX 27578, NEW YORK, NY 10087-7578
(212) 774-7369
(212) 517-4481
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01928514
—
NY
Enumeration date
04/06/2006
Last updated
06/28/2024
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