| NPI | 1003218785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER JASSAL Owner 516-987-8918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25ma09213400) |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2014-09-24 |