NPI | 1255431144 |
---|---|
Former Legal Business Name | ADVANCED PAIN CARE LLC |
Entity Type | Organization |
Authorized Contact | DAVID MOORTHI Member LLC 585-271-1620 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 214078) |
Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY 214078) |
Enumeration Date | 2006-09-22 |
Last Update Date | 2011-03-24 |