| NPI | 1366692527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DMITRY MIRONOV President 212-781-4720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 214351) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: 214351) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2009-08-04 |