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General NPI Number Information
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NPI Number | 1659255891
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Entity Type | Organization
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Legal Business Name | PAIN MEDICINE PRACTICE OF NEW YORK PLLC
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Dates
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Enumeration Date | 08/01/2025
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 66 COMMACK RD STE 103
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City | COMMACK
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State | NY
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Zip | 11725-3405
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Country | US
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Telephone | 833-547-7463
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Fax |
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Provider Business Mailing Address
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Address Line | 100 MOTOR PARKWAY SUITE LL8
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City | HAUPPAUGE
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State | NY
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Zip | 11788
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Country | US
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Telephone | 833-547-7463
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | AMIT SHARMA
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Credential | MD
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Telephone | 833-547-7463
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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