| NPI | 1528469368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK PREPETIT Owner 917-318-1315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: NY 2545201) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2014-09-11 |