Provider Demographics
NPI:1831296375
Name:USA PAIN
Entity Type:Organization
Organization Name:USA PAIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PAIN MANAGEMENT SPECIALIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SEYMOUR
Authorized Official - Middle Name:
Authorized Official - Last Name:LIFSHITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-356-2525
Mailing Address - Street 1:214 AVENUE S
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-2629
Mailing Address - Country:US
Mailing Address - Phone:718-759-6207
Mailing Address - Fax:718-759-6211
Practice Address - Street 1:214 AVENUE S
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-2629
Practice Address - Country:US
Practice Address - Phone:718-759-6207
Practice Address - Fax:718-759-6211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY150359207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYE41149Medicare UPIN
NY75D682Medicare ID - Type Unspecified