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General NPI Number Information
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NPI Number | 1568317956
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE PAIN MEDICINE PLLC
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Dates
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Enumeration Date | 03/02/2026
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 300 OLD COUNTRY RD STE 101
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City | MINEOLA
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State | NY
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Zip | 11501-4112
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Country | US
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Telephone | 516-400-2988
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Fax | 718-889-6906
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Provider Business Mailing Address
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Address Line | 300 OLD COUNTRY RD STE 101
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City | MINEOLA
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State | NY
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Zip | 11501-4112
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Country | US
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Telephone | 516-400-2988
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Fax | 718-889-6906
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | DR. LEONID REYFMAN
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Credential | MD
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Telephone | 516-400-2988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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