| NPI | 1083080006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GAMBURG Owner 718-461-5902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: NY 1984401) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2015-08-13 |