| NPI | 1235484726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDULQUADER KHAN President 646-732-7139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: NY 251646) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 251646) |
| 363A00000X Physician Assistant (Licence: NY 000135) | |
| 363A00000X Physician Assistant (Licence: NY 003681) | |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2021-08-03 |