| NPI | 1235481383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY HANS FORD Principal Owner 718-339-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: NY 182920) |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2012-10-12 |