| NPI | 1245597467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SADY RIBEIRO Owner 718-453-0165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| 2084P2900X Psychiatry & Neurology, Pain Medicine | |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2017-01-27 |