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

Statewide Interventional Pain Medicine, PC

Organization Interventional Pain Medicine Physician · NPI 1407004781

Statewide Interventional Pain Medicine, PC is an Interventional Pain Medicine Physician in Mineola, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
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

40 E 2nd St
Mineola, NY 11501-3504
Phone: (516) 739-3862
Fax: (516) 747-4783
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X (NY)

Record details

NPI number1407004781
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Adin — Owner · (516) 739-3862
NPI enumeratedAugust 29, 2008
Last updated in NPPESAugust 29, 2008
Mailing address40 E 2nd St, P.O. Box 191, Mineola, NY 11501-3504

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