Healthcare Provider Details

I. General information

NPI: 1508083973
Provider Name (Legal Business Name): LONG BEACH PAIN MANAGEMENT & CRITICAL CARE SERVICES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 E BAY DR
LONG BEACH NY
11561-2301
US

IV. Provider business mailing address

PO BOX 270
MASSAPEQUA PARK NY
11762-0270
US

V. Phone/Fax

Practice location:
  • Phone: 516-897-1347
  • Fax:
Mailing address:
  • Phone: 631-264-2035
  • Fax: 631-264-1418

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number143444
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License Number143444
License Number StateNY

VIII. Authorized Official

Name: KUNTALA SINHA
Title or Position: OWNER
Credential: M.D.
Phone: 631-264-2035