| NPI | 1366695207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD R DISCENZA President 845-709-2274 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: NJ MA045663) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 140670) |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2008-10-23 |