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 provides Specialist services 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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