East End Pain Center
LBN: East End Pain Management, Llc
East End Pain Center is an health care organization with primary practice located at 365 County Road 39A Suite 15 & 16, Southampton NY 11968. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty.
East End Pain Management, Llc can be contacted via phone (631) 702-2300, or through Gargiulo, Juan J. via phone (631) 702-2300.
Contact Information
Primary practice address
365 County Road 39A Suite 15 & 16
Southampton NY 11968
Phone: (631) 702-2300
Fax: (631) 702-2303
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | ||
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X |
Profile Details
| NPI number | 1902852247 |
|---|---|
| LBN Legal business name | East End Pain Management, Llc |
| DBA Doing business as | East End Pain Center |
| Authorized official | Gargiulo, Juan J. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Feb 16th, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902852247 | NPPES |
| Other | DA6752 | RR MEDICARE | |
| Other | 361034200 | RR MEDICARE |
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