| NPI | 1346535036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALAA BAHGAT HOUSNY Owner 718-986-4075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 227390) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 227390) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2011-06-10 |