| NPI | 1255729794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUELANE DO OURO Owner/Physician 917-724-1886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-01-07 |