| NPI | 1518798511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN MICHAEL WRAITH Member 914-661-8444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 171100000X Acupuncturist | |
| 225100000X Physical Therapist | |
| 225700000X Massage Therapist | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-08-12 |