Unknown Individual – Pain Medicine (Anesthesiology) Physician, NPI 1487674263
Pain Medicine (Anesthesiology) Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
PO BOX 10417
HOLYOKE, MA 010412017
Phone: (413) 540-0150
Fax: (413) 540-0159
Type: Mailing
1512 W KIRBY PL
SHREVEPORT, LA 711033822
Phone: (318) 626-0287
Type: Mailing
1541 KINGS HWY
SHREVEPORT, LA 711034228
Phone: (318) 626-0000
Type: Location
140, Stevens Avenue, West Mount Vernon, City of Mount Vernon, Westchester County, New York, 10550, United States
MOUNT VERNON, NY 105502515
Phone: (845) 406-8075
Fax: (914) 530-2320
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 01041)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NY | |
| - | NY | |
| Internal Medicine | NY | |
| - | NY | |
| - | NY | |
| - | NY | |
| P S Y C H I A T R Y | GA | |
| Diagnostic Radiology | MN | |
| Internal Medicine | NJ | |
| Diagnostic Radiology | NY |
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