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Contact Information

KNOX PAIN MANAGEMENT MEDICAL PRACTICE PLLC
340 ROUTE 202
SOMERS, NY10589-3237
 Phone: 845-254-1155
 Fax: 631-736-1332
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for KNOX PAIN MANAGEMENT MEDICAL PRACTICE PLLC

NPI Number 1104593870
LBN Legal business name KNOX PAIN MANAGEMENT MEDICAL PRACTICE PLLC
Authorized official JENNY NEWCOMB - (OFFICE)
Entity Organization
Organization subpart 1 No
Enumeration date 08/30/2021
Last updated 09/09/2021 - About 5 years ago
Identifiers
NY Medicaid 05241869
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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