| NPI | 1598169948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY W HUNTER Owner 212-203-2813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: NY 256856-1) |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2014-10-14 |