| NPI | 1295845220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONRAD FRITZ CEAN Owner 646-554-0997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: NY 225389) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2011-04-26 |