| NPI | 1407938822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVARIA AHSAN USMANI Office Manager 718-619-7461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: OH 87875) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |