| NPI | 1477223824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJASEKHAR BUDDHAVARAPU Chief Medical Officer 914-468-6084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center Infusion Therapy |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| 261QM2500X Clinic/Center Medical Specialty | |
| 261QP3300X Clinic/Center Pain | |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2021-09-16 |