Provider Demographics
NPI:1710226121
Name:NEW YORK PAIN CONSULTANTS, LLC
Entity Type:Organization
Organization Name:NEW YORK PAIN CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:L
Authorized Official - Last Name:SHALMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-422-6166
Mailing Address - Street 1:100 W MAIN ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11702-3439
Mailing Address - Country:US
Mailing Address - Phone:631-983-8600
Mailing Address - Fax:631-983-8601
Practice Address - Street 1:100 W MAIN ST
Practice Address - Street 2:SUITE C
Practice Address - City:BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11702-3439
Practice Address - Country:US
Practice Address - Phone:631-983-8600
Practice Address - Fax:631-983-8601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-05
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6726880002OtherDME SUPPLIER