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General NPI Number Information
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NPI Number | 1699664854
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Entity Type | Organization
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Legal Business Name | NEW YORK PRECISION PAIN MANAGEMENT
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 608 WALES AVE APT 2
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City | BRONX
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State | NY
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Zip | 10455-3271
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Country | US
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Telephone | 347-613-9490
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Fax |
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Provider Business Mailing Address
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Address Line | 1103 PARKWAY E
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City | UTICA
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State | NY
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Zip | 13501-5523
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Country | US
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Telephone | 347-613-9490
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | S M MONIR MOHAR
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Credential | MD
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Telephone | 347-613-9490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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