| NPI | 1073109229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALVIN H CANALES Lmt 516-603-5807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2020-12-11 |
| Last Update Date | 2020-12-11 |