| NPI | 1225029069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC KOCH President CEO 914-633-3287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2005-11-01 |
| Last Update Date | 2025-09-11 |