Provider Demographics
NPI:1346714664
Name:COMPREHENSIVE PAIN MANAGEMENT AND SPINE CARE, PLLC
Entity Type:Organization
Organization Name:COMPREHENSIVE PAIN MANAGEMENT AND SPINE CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHAIM
Authorized Official - Middle Name:
Authorized Official - Last Name:MANDELBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-304-2544
Mailing Address - Street 1:695 PALMER AVE
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-3133
Mailing Address - Country:US
Mailing Address - Phone:201-304-2544
Mailing Address - Fax:
Practice Address - Street 1:75 MAIDEN LANE
Practice Address - Street 2:SUITE 1206
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-5162
Practice Address - Country:US
Practice Address - Phone:212-995-6495
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-21
Last Update Date:2019-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty