| NPI | 1063758563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANGALA NAIK Owner 917-455-1339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: NY 223122) |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2013-01-02 |