| NPI | 1174912083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVETTE ABRAHAM President 718-966-1313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: NY 209053) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 209053) |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2015-02-12 |