POMONA PAIN MANAGEMENT NPI 1750332128

NPI Information

  • NPI: 1750332128
  • Provider Name: POMONA PAIN MANAGEMENT
  • Classification: Clinic/Center - 261QP3300X
  • Specialization: Pain
  • Entity Type: Organization
  • Address: 11 MEDICAL PARK DR
    SUITE 104
    POMONA, NY
    ZIP 10970
  • Phone: (845) 354-6700

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NPI Details

POMONA PAIN MANAGEMENT is a pain clinic center in Pomona, NY. POMONA PAIN MANAGEMENT NPI is 1750332128. The provider is registered as an organization entity type.

The provider's business location address is:

11 MEDICAL PARK DR
SUITE 104
POMONA, NY
ZIP 10970-559
Phone: (845) 354-6700

The provider's authorized official is Lawrence M. Model .
The authorized official title is Director and has the following contact phone number (845) 354-6700.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP3300XClinic/CenterPain135753NEW YORKYes
2111N00000XChiropractorX0110912NEW YORKX
32081S0010XPhysical Medicine & RehabilitationSports Medicine1487973NEW YORKX
4208100000XPhysical Medicine & Rehabilitation1487973NEW YORKX
52081P2900XPhysical Medicine & RehabilitationPain Medicine1487973NEW YORKX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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