| NPI | 1689960320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER VEDER Owner 646-522-3664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 207274) |
| Additional Taxonomies | 122300000X Dentist |
| 202C00000X Independent Medical Examiner (Licence: NY 207274) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| 2086S0129X Surgery, Vascular Surgery | |
| 208800000X Urology | |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2012-02-06 |