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Contact Information

EAST END PAIN MANAGEMENT, LLC
365 COUNTY ROAD 39A
SUITE 15 & 16
SOUTHAMPTON, NY11968
 Phone: 631-702-2300
 Fax: 631-702-2303
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for EAST END PAIN MANAGEMENT LLC · (Female)

NPI Number 1902852247
Status Active
Credentials
Entity Individual
Enumeration date 05/26/2006
Last updated 02/16/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • Other 361034200 FEDERAL WORKERS COMP
  • Other DA6752 RR MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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