Injury Pain Relief Medical PC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

189623-1 Issued in NY

Legal business name

INJURY PAIN RELIEF MEDICAL PC

Practice address

101 Castleton St
Pleasantville, NY 10570-3400

Phone

(855) 887-3422

NPI assigned

Mar 11, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vincent Carlesi

Title

President

Phone

(855) 887-3422

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1013215276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CASTLETON ST",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105703400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CASTLETON ST",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105703400",
            "telephone_number": "855-887-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INJURY PAIN RELIEF MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-11",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "CARLESI",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "855-887-3422"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NY",
            "license": "189623-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Logan Huppuch, FNP
• Emily Nicole Hynson, MA
• Sheliza Siarah Ibrahim
• Amber N Immerblum
• Ingeborg Dziedzic, M.D., P.C.
• Institutes of Applied Human Dynamics
• Integral Health Chiropractic, P.C.
• J.J. Wein OT PLLC
• Jenifer Aedra Jacobs Wein, OTR/L
• Corrie Jacobs, OTR/L

• Pain Clinic/Center in Pleasantville, NY
• Providers in Pleasantville, NY by specialty
• Pain Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.