Healthcare Provider Details

I. General information

NPI: 1679489363
Provider Name (Legal Business Name): BL PAIN MANAGEMENT PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 WATERS PL STE 903
BRONX NY
10461-2733
US

IV. Provider business mailing address

2279 CONEY ISLAND AVE
BROOKLYN NY
11223-3337
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: LEONID REYFMAN
Title or Position: PRESIDENT
Credential:
Phone: 718-998-9890