| NPI | 1265256697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALAH ELDIN MOHAMED Medical Director 347-205-0557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology |
| Enumeration Date | 2024-11-12 |
| Last Update Date | 2025-01-30 |