| NPI | 1235923269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND LOUIS CFO 631-653-1007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 208VP0000X | |
| 225700000X Massage Therapist | |
| 364SH1100X Clinical Nurse Specialist, Holistic | |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-04-07 |