MEDICARE: POMONA PAIN MANAGEMENT

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
1	261QP3300X	Pain Clinic/Center	135753	NY
2	111N00000X	Chiropractor	X0110912	NY
3	2081S0010X	Sports Medicine (Physical Medicine & Rehabilitation) Physician	1487973	NY
4	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	1487973	NY
5	208100000X	Physical Medicine & Rehabilitation Physician	1487973	NY

General Provider Information

NPI Number	:	1750332128
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POMONA PAIN MANAGEMENT

Provider Business Mailing Address
First Line	:	11 MEDICAL PARK DR
Second Line	:	SUITE 104
City	:	POMONA
State	:	NY
Zip	:	10970-3559
Country	:	US
Telephone Number	:	845-354-6700
Fax Number	:

Provider Business Practice Location Address
First Line	:	11 MEDICAL PARK DR
Second Line	:	SUITE 104
City	:	POMONA
State	:	NY
Zip	:	10970-3559
Country	:	US
Telephone Number	:	845-354-6700
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. LAWRENCE M. MODEL
Credential	:	MD
Telephone Number	:	845-354-6700

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	09/11/2025

Similar Medicare Providers

1457355000 — DR. JEFFREY ROBERT HOROWITZ D.P.M.
Practice Location Address:

11 MEDICAL PARK DR , STE 206
POMONA, NY
10970-3559

Practice Phone: 845-362-0100
Practice Fax: 845-362-0112

1477520765 — ELEAZAR VILORIA INCABO P.T.
Practice Location Address:

11 MEDICAL PARK DR , SUITE 104
POMONA, NY
10970-3559

Practice Phone: 845-354-6700
Practice Fax:

1487615548 — DR. BRIAN MICHAEL QUAIL PSY.D.
Practice Location Address:

11 MEDICAL PARK DR , SUITE 102
POMONA, NY
10970-3559

Practice Phone: 800-402-8019
Practice Fax:

1497798896 — DR. MARK FAGELMAN M.D.
Practice Location Address:

11 MEDICAL PARK DR , SUITE 101
POMONA, NY
10970-3559

Practice Phone: 845-354-5800
Practice Fax: 845-354-5966

1184668808 — DR. ELLIOT FAGELMAN M.D.
Practice Location Address:

11 MEDICAL PARK DR , SUITE 101
POMONA, NY
10970-3559

Practice Phone: 845-354-5800
Practice Fax: 845-354-5966

1730195157 — MS. LORRAINE SARA SCHORR MSW
Practice Location Address:

11 MEDICAL PARK DR , SUITE 102
POMONA, NY
10970-3559

Practice Phone: 845-354-5040
Practice Fax: 845-354-5040

Directions to “POMONA PAIN MANAGEMENT ” Practice Location

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