1821780834 NPI number — NEW YORK PAIN MEDICAL PRACTICE PLLC

Table of content: MR. ANTHONY JOHN FRANJOINE LMSW (NPI 1861170235)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821780834 NPI number — NEW YORK PAIN MEDICAL PRACTICE PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW YORK PAIN MEDICAL PRACTICE PLLC
Provider Last Name:
Provider First Name:
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Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
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Provider Other Last Name:
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NPI Number Information

NPI Number:
1821780834
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/26/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
100 MOTOR PKWY STE LL8
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HAUPPAUGE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11788-5165
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
833-547-7463
Provider Business Mailing Address Fax Number:
631-248-5583

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
66 COMMACK RD STE 103
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COMMACK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11725-3405
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
833-547-7463
Provider Business Practice Location Address Fax Number:
631-248-5583
Provider Enumeration Date:
05/26/2023

Additional Information

Authorized Official

Authorized Official Last Name:
SHARMA
Authorized Official First Name:
AMIT
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
833-547-7463

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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