| NPI | 1619416294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOLESLAV KOSHARSKYY Director 917-402-2606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 234893) |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2017-02-16 |