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Contact Information

FINGER LAKES PAIN MANAGEMENT, LLC
13 ITHACA STREET
HORSEHEADS, NY14845
 Phone: 607-795-5015
 Fax: 607-795-5018
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for FINGER LAKES PAIN MANAGEMENT, LLC

NPI # 1639120009
LBN Legal business name FINGER LAKES PAIN MANAGEMENT, LLC
Authorized official DAVID MEVORACH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/12/2006
Last updated 02/01/2010 - About 16 years ago
Identifiers n/a
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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