| NPI | 1265742431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAGENDRA P UPADHYAYULA Owner 845-849-3336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: CT 49099) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2010-10-20 |