| NPI | 1184058992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL I BERKLEY CEO & Administrator 718-448-3210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2016-05-31 |