Healthcare Provider Details

I. General information

NPI: 1831296375
Provider Name (Legal Business Name): USA PAIN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 AVENUE S
BROOKLYN NY
11223-2629
US

IV. Provider business mailing address

214 AVENUE S
BROOKLYN NY
11223-2629
US

V. Phone/Fax

Practice location:
  • Phone: 718-759-6207
  • Fax: 718-759-6211
Mailing address:
  • Phone: 718-759-6207
  • Fax: 718-759-6211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number150359
License Number StateNY

VIII. Authorized Official

Name: DR. SEYMOUR LIFSHITZ
Title or Position: PAIN MANAGEMENT SPECIALIST
Credential: MD
Phone: 516-356-2525