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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

NPI Number 1902852247
LBN Legal business name EAST END PAIN MANAGEMENT, LLC
Authorized official JUAN GARGIULO - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/26/2006
Last updated 02/16/2011 - About 15 years ago
Identifiers
Other 361034200 FEDERAL WORKERS COMP
Other DA6752 RR MEDICARE
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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