| NPI | 1376066951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YURIY SHEPELYAK Owner 212-752-6770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: NY 288641-1) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2022-07-21 |