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

Statewide Interventional Pain Medicine, PC

Organization Specialist · NPI 1669609582

Statewide Interventional Pain Medicine, PC is a Specialist in Astoria, 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?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3825 Astoria Blvd
Astoria, NY 11103-3608
Phone: (718) 758-9600
Fax: (718) 758-9602
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 224928 (NY)

Record details

NPI number1669609582
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Adin — President · (718) 758-9600
NPI enumeratedJune 18, 2009
Last updated in NPPESJune 18, 2009
Mailing address300 Marcus Avenue, Po Box 3757, Lake Success, NY 11042

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