| NPI | 1023523198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDA JAAFAR Owner 646-876-5566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: NY 261144) |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2018-06-16 |