MEDICARE: COMPREHENSIVE PAIN MANAGEMENT-ANESTHESIA SERVICES, P.C.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207L00000X	Anesthesiology Physician
2	207LA0401X	Addiction Medicine (Anesthesiology) Physician
3	207LH0002X	Hospice and Palliative Medicine (Anesthesiology) Physician
4	207LP2900X	Pain Medicine (Anesthesiology) Physician
5	208VP0000X	Pain Medicine Physician
6	208VP0014X	Interventional Pain Medicine Physician

General Provider Information

NPI Number	:	1881866770
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE PAIN MANAGEMENT-ANESTHESIA SERVICES, P.C.

Provider Business Mailing Address
First Line	:	920 BROADWAY
Second Line	:	SUITE 702
City	:	NEW YORK
State	:	NY
Zip	:	10010-8015
Country	:	US
Telephone Number	:	646-602-8030
Fax Number	:	646-602-9154

Provider Business Practice Location Address
First Line	:	408 7TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-5012
Country	:	US
Telephone Number	:	718-832-0885
Fax Number	:	718-832-2028

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. GARY P. THOMAS
Credential	:	M.D.
Telephone Number	:	646-602-8030

Provider Enumeration Date	:	03/31/2008
Last Update Date	:	09/05/2008

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