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

Organization Pain Medicine (Anesthesiology) Physician · NPI 1710292651

Omni Interventional Pain Management, PLLC is a Pain Medicine (Anesthesiology) Physician in Flushing, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
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

13620 38th Ave Ste 8A
Flushing, NY 11354-4233
Phone: (917) 443-4719
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence 250243 (NY)

Record details

NPI number1710292651
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Lam — Member · (917) 443-4719
NPI enumeratedAugust 16, 2010
Last updated in NPPESAugust 16, 2010
Mailing address13620 38th Ave, Suite 8a, Flushing, NY 11354-4233

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