| NPI | 1396074704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAIN HAIDER Director 315-798-8737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: VA 0101058239) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: VA 0101058239) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: VA 0101058239) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: DC MD036385) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: DC MD036385) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: DC MD036385) | |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2014-05-20 |