| NPI | 1447637632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHINWEIKE IZEOGU Medical Director 917-749-5701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NJ 25MA08075700) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2015-04-27 |