Mineola Interventional Pain Management Pllc

LBN: Mineola Interventional Pain Management Pllc
Mineola Interventional Pain Management Pllc is an health care organization with primary practice located at 184 Old Country Rd , Mineola NY 11501-4223. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Mineola Interventional Pain Management Pllc can be contacted via phone (516) 294-4457, or through Dudley, Barbara via phone (516) 294-4457.

Contact Information

Primary practice address
184 Old Country Rd Mineola NY 11501-4223
Phone: (516) 294-4457
Fax: (516) 294-5871
Website:
Map and Directions
Authorized official contact:
Name: Dudley, Barbara
Phone: (516) 294-4457

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 169195 New York

Profile Details

NPI number 1518193846
LBN Legal business name Mineola Interventional Pain Management Pllc
DBA Doing business as
Authorized official Dudley, Barbara
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2009
Last updated Jun 1st, 2009 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518193846 NPPES
New York MEDICAID 01067183

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