| NPI | 1467836395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELI INZLICHT-SPREI Owner 718-807-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-09 |