Healthcare Provider Details

I. General information

NPI: 1922509769
Provider Name (Legal Business Name): BL PAIN MANAGEMENT PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2018
Last Update Date: 05/09/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1976 CROTONA PKWY STE 3A
BRONX NY
10460-1526
US

IV. Provider business mailing address

2277-83 CONEY ISLAND AVE 2 FLOOR
BROOKLYN NY
11223-3337
US

V. Phone/Fax

Practice location:
  • Phone: 718-645-2829
  • Fax:
Mailing address:
  • Phone: 718-998-9890
  • Fax: 718-998-9891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LEONID REYFMAN
Title or Position: VICE PRESIDENT
Credential: M.D.
Phone: 718-998-9890