| NPI | 1528553559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE LEE WRIGHT Office Administrator 518-572-6603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 231566-1) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2020-11-02 |