| NPI | 1619513157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENDAI ECHEZONA Provider 914-469-7877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2020-06-12 |