Healthcare Provider Details

I. General information

NPI: 1881866770
Provider Name (Legal Business Name): COMPREHENSIVE PAIN MANAGEMENT-ANESTHESIA SERVICES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2008
Last Update Date: 09/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

408 7TH AVE
BROOKLYN NY
11215-5012
US

IV. Provider business mailing address

920 BROADWAY SUITE 702
NEW YORK NY
10010-8015
US

V. Phone/Fax

Practice location:
  • Phone: 718-832-0885
  • Fax: 718-832-2028
Mailing address:
  • Phone: 646-602-8030
  • Fax: 646-602-9154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207LA0401X
TaxonomyAddiction Medicine (Anesthesiology) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207LH0002X
TaxonomyHospice and Palliative Medicine (Anesthesiology) Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GARY P. THOMAS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 646-602-8030