| NPI | 1134519556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INESSA SVISTUNOVA President 917-705-3664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: NY 268070) |
| Enumeration Date | 2015-01-24 |
| Last Update Date | 2015-01-24 |