| NPI | 1689319865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UNA SIBIRCEVA Owner 917-913-5521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2022-11-28 |