| 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 (Licence: NY 258660-1) |
| Additional Taxonomies | 208VP0000X (Licence: NY 183330-1) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 183330-1) | |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2019-10-30 |