| NPI | 1174042949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC ROSENBLATT Owner 845-570-5260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: NY 148797) |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2017-09-13 |