PAIN MANAGEMENT OF LONG ISLAND, P.C,
Osteopathic Medicine at Nesconset Hwy, Prt Jefferson Station, NY

License number
New York 192949
Category
Osteopathic Medicine
Type
Pain Medicine
Owner
Name: MS. DEBORAH GOLPARIANI
Title: OFFICE MANAGER
Phone: (516) 603-7426
Address
Address 2
59 Nesconset Hwy, Prt Jefferson Station, NY 11776
PO Box 231233, Great Neck, NY 11023
National Provider ID: 1033267570
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PAIN MANAGEMENT OF LONG ISLAND PC

Great Neck, NY  -  Prt Jefferson Station, NY

Registration:
Apr 4, 2002
Addresses:
PO Box 231233, Great Neck, NY 11023 (Physical)
59 Nesconset Hwy, Port Jefferson Station, NY 11776 (Physical)
State ID:
2751186
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Mehran Golpariani, 59 Nesconset Hwy, Port Jefferson Station, NY 11776 (Physical)

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