| NPI | 1003056367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MARSHAK Physician 718-292-7845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 200019) |
| Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: NY 200019) |
| 207L00000X Anesthesiology (Licence: NY 200019) | |
| 207LA0401X Anesthesiology, Addiction Medicine (Licence: NY 200019) | |
| 207LH0002X Anesthesiology, Hospice and Palliative Medicine (Licence: NY 200019) | |
| 208D00000X General Practice (Licence: NY 200019) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: NY 200019) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 200019) | |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2009-02-26 |