| NPI | 1174223515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIT SHARMA Medical Director 917-400-6184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2024-06-21 |