OrganizationActive
Interventional Medical P.C.
NPI 1235481383 · Pain Medicine Physician · Brooklyn, NY
Provider details
- NPI number
- 1235481383
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Billy Ford, Principal Owner(718) 339-7500
- License
- 182920 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1575 E 19th St
Brooklyn, NY 11230-7203
Phone: (718) 339-7500
Fax: (646) 961-4768
Approximate (ZIP-level) locationGet directions
Mailing address
1575 E 19th St
Brooklyn, NY 11230-7203
Registry dates
- Enumerated
- 2012-10-12
- Last updated
- 2012-10-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.