| NPI | 1679266092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOSSEIN HADIAN Owner 315-449-0513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2023-05-31 |
| Last Update Date | 2023-06-21 |