Pain Treatment Medicine Of The Finger Lakes PLLC
Pain Medicine, Interventional Pain Medicine in Rochester, NY. Organization (NPI-2).
NPI number1477548360
StatusActive
Last updated in NPPESJan 30, 2008
Details
- NPI
- 1477548360
- Entity type
- Organization (NPI-2)
- Legal business name
- Pain Treatment Medicine Of The Finger Lakes PLLC
- Organization subpart
- No
- Enumeration date
- Sep 16, 2005
- Last updated
- Jan 30, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | – | – | Yes |
Practice location
30 Hagen DrSuite 230
Rochester, NY 14625-2658
Phone 585-899-3450 · Fax 585-899-3454
Mailing address
Po Box 2005East Syracuse, NY 13057-4505
Phone 315-449-0513 · Fax 315-445-2936
Authorized official
Donovan O Holder
Owner
5858993450
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