| NPI | 1639509235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGOR OSTROVSKY President 718-934-1920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: NY 200155) |
| Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine (Licence: NY 200155) |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2013-11-19 |