| NPI | 1043081524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEYMAN YOUNESI Owner 718-709-0940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2024-01-12 |
| Last Update Date | 2025-03-12 |