| NPI | 1063556405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE MARIE STILWELL President 718-448-6373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 186024) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 186024) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: NY 241180) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 186024) | |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2021-03-02 |