| NPI | 1659555415 |
|---|---|
| Other Name | ADULT MEDICINE PC PAIN MANAGEMENT SERVICES |
| Entity Type | Organization |
| Authorized Contact | SUZANNA P BOKA Owner 518-638-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207LP2900X Anesthesiology, Pain Medicine | |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2008-04-01 |