| NPI | 1083260806 |
|---|---|
| Former Legal Business Name | THE PAIN GROUP SPECIALIZING IN PAIN MGMT & REHAB MEDICINE, PLLC |
| Entity Type | Organization |
| Authorized Contact | JUAN LEDON President 516-377-3332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 208100000X Physical Medicine & Rehabilitation | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2021-02-22 |