Basic Information
Provider Information
NPI: 1861036683
EntityType: 2
ReplacementNPI:  
OrganizationName: NORTH AMERICAN PARTNERS IN PAIN MANAGEMENT LLP
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Mailing Information
Address1: 1305 WALT WHITMAN RD STE 300
Address2:  
City: MELVILLE
State: NY
PostalCode: 117474300
CountryCode: US
TelephoneNumber: 5169453000
FaxNumber:  
Practice Location
Address1: 36 LINCOLN AVE
Address2:  
City: ROCKVILLE CENTRE
State: NY
PostalCode: 115705768
CountryCode: US
TelephoneNumber: 5168553434
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/05/2019
LastUpdateDate: 03/03/2022
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: BERNOCCO
AuthorizedOfficialFirstName: SARAH
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AuthorizedOfficialTitleorPosition: SENIOR CREDENTIALING SPECIALIST
AuthorizedOfficialTelephone: 5169453163
IsSoleProprietor:  
IsOrganizationSubpart: N
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NPICertificationDate: 03/03/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
261QP3300X  Y Ambulatory Health Care FacilitiesClinic/CenterPain

No ID Information.


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