Provider Demographics
NPI:1669365664
Name:NEW YORK PAIN RELIEF MEDICINE MIDTOWN PC
Entity type:Organization
Organization Name:NEW YORK PAIN RELIEF MEDICINE MIDTOWN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUELANE
Authorized Official - Middle Name:SOUSA
Authorized Official - Last Name:DO OURO RODRIGUES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-299-8256
Mailing Address - Street 1:116 SANDFORD ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11205-2987
Mailing Address - Country:US
Mailing Address - Phone:917-299-8256
Mailing Address - Fax:646-661-3963
Practice Address - Street 1:36 W 44TH ST STE 600B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-8112
Practice Address - Country:US
Practice Address - Phone:917-299-8256
Practice Address - Fax:646-661-3963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty