National Provider Identifier Database

EAST END PAIN MANAGEMENT LLC
Pain Medicine

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.


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
* Pain Medicine 207LP2900X
Interventional Pain Medicine 208VP0014X

* Indicates primary specialty

NPI Profile & details for EAST END PAIN MANAGEMENT, LLC

NPI Number 1902852247
Legal business name
LBN
EAST END PAIN MANAGEMENT, LLC
Authorized official JUAN GARGIULO - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 05/26/2006
Last updated 02/16/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • Other: 361034200 FEDERAL WORKERS COMP
  • Other: DA6752 RR MEDICARE

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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