Organization
NEW YORK PAIN MANAGEMENT SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VADIM KUSHNERIK M.D. (PRESIDENT)
(718) 858-3335
Entity
Organization
Contact information
Practice address
360 COURT ST, SUITE 3, BROOKLYN, NY 11231-4353
(718) 858-3335
(718) 858-3229
Mailing address
PO BOX 5170, NEW YORK, NY 10087-5170
(718) 422-5023
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC2133
RAILROAD MEDICARE
—
Enumeration date
05/23/2006
Last updated
11/02/2011
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