Healthcare Provider Details

I. General information

NPI: 1336837178
Provider Name (Legal Business Name): PAIN ATTENTION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2023
Last Update Date: 09/18/2023
Certification Date: 09/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 W 46TH ST
NEW YORK NY
10036-4109
US

IV. Provider business mailing address

45 W 46TH ST
NEW YORK NY
10036-4109
US

V. Phone/Fax

Practice location:
  • Phone: 516-360-3248
  • Fax:
Mailing address:
  • Phone: 516-360-3248
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ANDREA GEORGE
Title or Position: MANAGING MEMBER
Credential: FNP
Phone: 516-360-3248