Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Atlantic Anesthesia /PAIN Management Medical Services PC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1366692527

Atlantic Anesthesia /PAIN Management Medical Services PC provides Pain Medicine (Anesthesiology) Physician services in New York, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
Specialties on file
2
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

436 Fort Washington Ave Ste 1H
New York, NY 10033-3507 Not confirmed with CMS for 17 years — call before visiting
Phone: (212) 781-4720
Fax: (212) 923-9585
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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 214351 (NY)
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X · Licence 214351

Record details

NPI number1366692527
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dmitry Mironov — President · (212) 781-4720
NPI enumeratedSeptember 24, 2008
Last updated in NPPESAugust 4, 2009
Mailing address436 Fort Washington Ave, Suite 1h, New York, NY 10033-3507

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