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 provides Specialist services 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 Not confirmed with CMS for 17 years — call before visiting
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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