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

Upstate Pain Medicine PC

Organization Specialist · NPI 1255498424

Upstate Pain Medicine PC is a Specialist in Fulton, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
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

59 S 1st St
Fulton, NY 13069-1704
Phone: (315) 593-7715
Fax: (315) 593-1495
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 215662 (NY)

Record details

NPI number1255498424
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tara Lee — Office Manager · (315) 529-3950
NPI enumeratedJanuary 3, 2007
Last updated in NPPESAugust 22, 2020
Mailing address59 S 1st St, Fulton, NY 13069-1704

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