| NPI | 1609258524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD JAY APPLE Medical Director 718-758-5220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2015-06-27 |
| Last Update Date | 2015-06-27 |