Provider Demographics
NPI:1003124132
Name:PRECISION PAIN MANAGEMENT, PC
Entity Type:Organization
Organization Name:PRECISION PAIN MANAGEMENT, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARI
Authorized Official - Middle Name:BENJAMIN
Authorized Official - Last Name:LERNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-272-1520
Mailing Address - Street 1:408 E 92ND ST
Mailing Address - Street 2:33C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-6811
Mailing Address - Country:US
Mailing Address - Phone:347-272-1520
Mailing Address - Fax:646-328-2763
Practice Address - Street 1:2318 31ST ST STE 300
Practice Address - Street 2:ASTORIA
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11105-2892
Practice Address - Country:US
Practice Address - Phone:347-272-1520
Practice Address - Fax:646-328-2763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-23
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY234524208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty