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

Eastern Suffolk Spine and Pain Medicine, PLLC

Organization Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1568223923

Eastern Suffolk Spine and Pain Medicine, PLLC is a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Southold, New York. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

700 Boisseau Ave
Southold, NY 11971-2926
Phone: (631) 477-5353
Fax: (631) 477-5891
Show map & directions

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

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X

Record details

NPI number1568223923
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Brown — Owner · (570) 814-4146
NPI enumeratedJanuary 22, 2024
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026
Mailing address3 Frances Ln, Port Jefferson, NY 11777-1125