| NPI | 1306279203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHRDAD HEDAYATNIA Owner 718-302-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 101301) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NY 101301) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2013-08-14 |