| NPI | 1548730492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDAUGAS PRANEVICIUS President 718-918-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine |
| 208VP0014X Pain Medicine Interventional Pain Medicine | |
| 207LA0401X Anesthesiology Addiction Medicine | |
| 207LP2900X Anesthesiology Pain Medicine | |
| 207LP3000X Anesthesiology Pediatric Anesthesiology | |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2024-12-03 |