| NPI | 1124204094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYANA CANNON MCINTOSH Pain Medicine Fellow 917-796-9584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: PA MD444693) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: PA MTI91355) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2012-08-27 |