| NPI | 1649031949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DMITRIY DVOSKIN President 718-998-9890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine | |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2024-01-23 |