| NPI | 1275397309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDEL GRATIA Owner 347-612-9883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2024-02-08 |