| NPI | 1720104474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY EMILI Associate Program Director 718-547-4077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 211144-1) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2021-04-22 |