Provider Demographics
NPI:1073929907
Name:AINSWORTH INSTITUTE OF PAIN MANAGMENT, PLLC
Entity Type:Organization
Organization Name:AINSWORTH INSTITUTE OF PAIN MANAGMENT, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:COREY
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-203-2813
Mailing Address - Street 1:115 E 57TH ST
Mailing Address - Street 2:SUITE 1210
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-2049
Mailing Address - Country:US
Mailing Address - Phone:212-203-2813
Mailing Address - Fax:646-607-9061
Practice Address - Street 1:115 E 57TH ST
Practice Address - Street 2:SUITE 1210
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-2049
Practice Address - Country:US
Practice Address - Phone:212-203-2813
Practice Address - Fax:646-607-9061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-11
Last Update Date:2014-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY256856174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty