| NPI | 1013334234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MICHEAL VENTRUDO Medical Doctor 212-490-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: NY 242798) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2014-07-29 |