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NPI Code Detail

MEDICARE: DNA PAIN MANAGEMENT LLC

MEDICARE: DNA PAIN MANAGEMENT LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP0000XPain Management Registered Nurse

General Provider Information

NPI Number : 1497599930
Entity Type Code : Organization
Provider Name (Legal Business Name) : DNA PAIN MANAGEMENT LLC
Provider Business Mailing Address
First Line : 380 88TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-5665
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 380 88TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-5665
Country : US
Telephone Number : 407-368-7946
Fax Number :
Authorized Official
Title or Position : OWNER
Name : OMAR DUQMAQ
Credential :
Telephone Number : 407-368-7946
Provider Enumeration Date : 06/20/2024
Last Update Date : 06/25/2024

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Directions to “DNA PAIN MANAGEMENT LLC ” Practice Location

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