Provider Demographics
NPI:1316839830
Name:APICO PAIN MANAGEMENT, LLC
Entity type:Organization
Organization Name:APICO PAIN MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RANY
Authorized Official - Middle Name:T
Authorized Official - Last Name:ABDALLAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:855-932-7426
Mailing Address - Street 1:100 BECKS WOODS DR STE 201
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-3835
Mailing Address - Country:US
Mailing Address - Phone:855-932-7426
Mailing Address - Fax:
Practice Address - Street 1:1197 AIRPORT RD STE 5
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-6491
Practice Address - Country:US
Practice Address - Phone:855-932-7426
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:APICO PAIN MANAGEMENT LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty