| NPI | 1699593988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QI LI YE Owner 646-578-1968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2024-09-26 |
| Last Update Date | 2024-09-26 |