Provider Demographics
NPI:1871824847
Name:PAIN MANAGMENT OF BORO PARK PC
Entity Type:Organization
Organization Name:PAIN MANAGMENT OF BORO PARK PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMY
Authorized Official - Middle Name:
Authorized Official - Last Name:LASHEEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-435-6441
Mailing Address - Street 1:5024 10TH AVE
Mailing Address - Street 2:#1F
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-3302
Mailing Address - Country:US
Mailing Address - Phone:718-435-6441
Mailing Address - Fax:718-435-6741
Practice Address - Street 1:5024 10TH AVE
Practice Address - Street 2:#1F
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-3302
Practice Address - Country:US
Practice Address - Phone:718-435-6441
Practice Address - Fax:718-435-6741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-14
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty