Provider profile · NPI 1770908634

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Anesthesiology, Pain Medicine · Brooklyn, NY · NPI 1770908634 · No federal exclusion match

✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.

Registry details

Type

Organization

Primary specialty

Anesthesiology, Pain Medicine

Enumerated

Feb 28, 2014

License(s)

Addresses on file

PurposeAddressCity/StatePhone
MAILING71 S ORANGE AVE South Orange, NJ 07079-1715
LOCATION4310 CHURCH AVE Brooklyn, NY 11203-3102718-287-1000

View on NPPES registry ↗

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