Provider Demographics
NPI:1609258524
Name:APPLE PAIN MANGEMENT PLLC
Entity Type:Organization
Organization Name:APPLE PAIN MANGEMENT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:APPLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-758-5220
Mailing Address - Street 1:1475 ROYCE ST
Mailing Address - Street 2:APT 2C
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-5932
Mailing Address - Country:US
Mailing Address - Phone:718-758-5220
Mailing Address - Fax:718-333-1398
Practice Address - Street 1:5607 AVENUE L
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-3317
Practice Address - Country:US
Practice Address - Phone:718-758-5220
Practice Address - Fax:718-333-1398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-27
Last Update Date:2015-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty