Provider Demographics
NPI:1255729794
Name:NEW YORK PAIN RELIEF MEDICINE PLLC
Entity type:Organization
Organization Name:NEW YORK PAIN RELIEF MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SUELANE
Authorized Official - Middle Name:
Authorized Official - Last Name:DO OURO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-724-1886
Mailing Address - Street 1:1673 SHERBOURNE RD
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-1829
Mailing Address - Country:US
Mailing Address - Phone:917-724-1886
Mailing Address - Fax:347-227-1368
Practice Address - Street 1:1673 SHERBOURNE RD
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-1829
Practice Address - Country:US
Practice Address - Phone:917-724-1886
Practice Address - Fax:347-227-1368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-07
Last Update Date:2015-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty