Healthcare Provider Details

I. General information

NPI: 1932404977
Provider Name (Legal Business Name): NORTH AMERICAN PARTNERS IN PAIN MANAGEMENT PENNSYLVANIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2011
Last Update Date: 07/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 STATE ST
ERIE PA
16550-0002
US

IV. Provider business mailing address

68 S SERVICE RD STE 350
MELVILLE NY
11747-2354
US

V. Phone/Fax

Practice location:
  • Phone: 814-877-2137
  • Fax: 814-877-7049
Mailing address:
  • Phone: 516-945-3000
  • Fax: 516-945-3131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. KAREN ENGLER
Title or Position: VP OF CONTRACTING AND PHYSICIAN SVC
Credential:
Phone: 516-945-3000