| NPI | 1699169128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE SEIGEL Practice Administrator 631-343-7144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 235711) |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2024-10-18 |