Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Gramercy Medical Pain Management PA

Organization Specialist · NPI 1407018633

Gramercy Medical Pain Management PA provides Specialist services in Pearl River, 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?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

67 S Main St
Pearl River, NY 10965-2444 Not confirmed with CMS for 11 years — call before visiting
Phone: (845) 368-0800
Fax: (845) 368-0810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 231296-1 (NY)

Record details

NPI number1407018633
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Gottlieb — Director · (845) 368-0800
Other names Gramercy Pain Management P.A.
NPI enumeratedJune 29, 2008
Last updated in NPPESOctober 17, 2014
Mailing addressPo Box 146, Pearl River, NY 10965-0146

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