National Provider Identifier
Jaimala Thanik MD PLLC
Jaimala Thanik MD PLLC is listed in the NPPES registry with a primary specialty of Pain Medicine Physician in Rochester, NY and a listed phone number of (585) 244-7748.
Profile Overview
- NPI
- 1881658060
- Provider Type
- Organization
- Primary Specialty
- Pain Medicine Physician
- Enumeration Date
- April 14, 2006
- Last Updated
- December 20, 2007
Practice Location
- 990 South Ave
- Rochester, NY 14620-2740
Phone: (585) 244-7748
Mailing Address
- 790 Linden Ave
- Rochester, NY 14625-2716
Specialties
- Pain Medicine Physician (208VP0000X)
Full Record
- NPI
- 1881658060
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Jaimala Thanik MD PLLC
- Mailing Street Address
- 790 Linden Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14625-2716
- Mailing Country
- US
- Mailing Phone
- (585) 385-9030
- Mailing Fax
- (585) 385-9124
- Practice Street Address
- 990 South Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-2740
- Practice Country
- US
- Practice Phone
- (585) 244-7748
- Practice Fax
- (585) 385-7610
- Enumeration Date
- April 14, 2006
- Last Updated
- December 20, 2007
- Authorized Official Last Name
- Thanik
- Authorized Official First Name
- Jaimala
- Authorized Official Title
- Owner
- Authorized Official Phone
- (585) 244-7748
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Dr.
- Authorized Official Credential Text
- MD
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Taxonomies
- Pain Medicine Physician (208VP0000X)