Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Atlantic Anesthesia /PAIN Management Medical Services PC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1366692527

Atlantic Anesthesia /PAIN Management Medical Services PC is a Pain Medicine (Anesthesiology) Physician in New York, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

436 Fort Washington Ave Ste 1H
New York, NY 10033-3507
Phone: (212) 781-4720
Fax: (212) 923-9585
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence 214351 (NY)
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X · Licence 214351

Record details

NPI number1366692527
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dmitry Mironov — President · (212) 781-4720
NPI enumeratedSeptember 24, 2008
Last updated in NPPESAugust 4, 2009
Mailing address436 Fort Washington Ave, Suite 1h, New York, NY 10033-3507

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