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

Mineola Interventional Pain Management PLLC

Organization Specialist · NPI 1518193846

Mineola Interventional Pain Management PLLC is a Specialist in Mineola, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

184 Old Country Rd
Mineola, NY 11501-4223
Phone: (516) 294-4457
Fax: (516) 294-5871
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 169195 (NY)

Record details

NPI number1518193846
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Barbara Dudley — Billing Manager · (516) 294-4457
NPI enumeratedJune 1, 2009
Last updated in NPPESJune 1, 2009
Mailing address184 Old Country Rd, Mineola, NY 11501-4223

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