| NPI | 1386940542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEIRON W GREAVES President 347-843-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: NY 1857811) |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2011-02-07 |