| NPI | 1639621493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEEBAE KONG Secretary 917-757-1141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: NY 098648A) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-10-27 |