Provider Demographics
NPI:1437888971
Name:SECKIN PAIN MANAGEMENT, LLC
Entity Type:Organization
Organization Name:SECKIN PAIN MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:INANC
Authorized Official - Last Name:SECKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD MBA
Authorized Official - Phone:201-780-1511
Mailing Address - Street 1:2 TOMPKINS CT
Mailing Address - Street 2:
Mailing Address - City:NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10960-1225
Mailing Address - Country:US
Mailing Address - Phone:201-780-1511
Mailing Address - Fax:201-809-3300
Practice Address - Street 1:20 PROSPECT AVE
Practice Address - Street 2:SUITE 602
Practice Address - City:HACKENSACK
Practice Address - State:NY
Practice Address - Zip Code:10960-1096
Practice Address - Country:US
Practice Address - Phone:201-809-3000
Practice Address - Fax:201-809-3300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-09
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
No261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPainGroup - Single Specialty