| NPI | 1215402870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VARUZHAN DOVLATYAN Authorized Official 212-404-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 111N00000X Chiropractor | |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2019-12-09 |