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

Lake Success Health Medical Wellness PC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1083492128

Lake Success Health Medical Wellness PC is a Pain Medicine (Anesthesiology) Physician in New Hyde Park, New York. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
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

2001 Marcus Ave Ste W95
New Hyde Park, NY 11042-2052
Phone: (917) 524-7246
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 295 Madison Ave Rm 407, New York, NY 10017-6438 — (917) 524-7246

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X

Record details

NPI number1083492128
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Rosen — Cfo · (914) 860-5578
NPI enumeratedSeptember 19, 2023
Last updated in NPPESSeptember 20, 2023
Certification dateSeptember 20, 2023
Mailing address295 Madison Ave Rm 407, New York, NY 10017-6438

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