| NPI | 1154515567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY H FORD Owner 718-515-9664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2015-03-20 |