| NPI | 1174817993 |
|---|---|
| Doing Business As | SOUTHEAST PAIN CARE |
| Entity Type | Organization |
| Authorized Contact | EDGAR GARRABRANT President/Owner 516-945-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 208VP0000X | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2025-05-23 |