| NPI | 1467672592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH LECHNER Billing Lead 203-732-1580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 103T00000X Psychologist |
| 225100000X Physical Therapist | |
| 363L00000X Nurse Practitioner | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2013-05-03 |