MEDICARE: PAIN MEDICAL, PLLC

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	208VP0014X	Interventional Pain Medicine Physician

General Provider Information

NPI Number	:	1770739401
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAIN MEDICAL, PLLC

Provider Business Mailing Address
First Line	:	2279 CONEY ISLAND AVE
Second Line	:	SUITE 2D
City	:	BROOKLYN
State	:	NY
Zip	:	11223-3337
Country	:	US
Telephone Number	:	718-998-9890
Fax Number	:	718-998-9891

Provider Business Practice Location Address
First Line	:	2279 CONEY ISLAND AVE
Second Line	:	SUITE 2D
City	:	BROOKLYN
State	:	NY
Zip	:	11223-3337
Country	:	US
Telephone Number	:	718-998-9890
Fax Number	:	718-998-9891

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	LEONID REYFMAN
Credential	:	M.D
Telephone Number	:	718-998-9890

Provider Enumeration Date	:	08/13/2008
Last Update Date	:	04/30/2025

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