| NPI | 1336643600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH B CHAPMAN Director 718-667-3577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 233952) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2023-01-27 |