| NPI | 1316184153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUG SCHOTTENSTEIN Owner 212-750-1110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 232232) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2012-12-04 |