NPI | 1417652041 |
---|---|
Doing Business As | MODERN PAIN INSTITUTE |
Entity Type | Organization |
Authorized Contact | DAVID DELATTE Owner 646-468-6484 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Enumeration Date | 2023-04-03 |
Last Update Date | 2024-01-02 |