| NPI | 1104143361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVETTE R ABRAHAM Owner 917-414-0617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 209053) |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2014-12-08 |