| NPI | 1508198508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONG HE Owner 516-603-3755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 201494) |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2011-03-02 |