NPI | 1689123929 |
---|---|
Former Legal Business Name | PAIN MANAGEMENT ASSOCIATES OF WNY, LLC |
Entity Type | Organization |
Authorized Contact | ROMANTH WAGHMARAE Medical Director 716-650-3000 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: NY 258660-1) |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: NY 183330-1) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 183330-1) | |
Enumeration Date | 2016-09-28 |
Last Update Date | 2019-10-30 |