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 |