| NPI | 1053583682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA TYULENEVA Medical Director 917-538-9844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: NY 9K5581) |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2008-03-24 |