Provider Demographics
NPI:1043646813
Name:AINSWORTH PAIN MANAGEMENT & REHABILITATION PLLC
Entity Type:Organization
Organization Name:AINSWORTH PAIN MANAGEMENT & REHABILITATION PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HALLAND
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-518-7874
Mailing Address - Street 1:909 3RD AVE
Mailing Address - Street 2:#1149
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10150-2000
Mailing Address - Country:US
Mailing Address - Phone:212-518-7874
Mailing Address - Fax:
Practice Address - Street 1:909 3RD AVE
Practice Address - Street 2:#1149
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10150-2000
Practice Address - Country:US
Practice Address - Phone:212-518-7874
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-24
Last Update Date:2016-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty