| NPI | 1003243254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEUNG YI CHANG Medical Doctor 718-746-4919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 272293) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-02 |