| NPI | 1639408461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER VEDER Owner 646-522-3664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NJ 25MA08792700) |
| Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: NJ 25MA08792700) |
| 207L00000X Anesthesiology (Licence: NJ 25MA08792700) | |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2014-03-03 |