| NPI | 1730350547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHUN MING CHEN Owner 718-321-8066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 223423) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 223423) |
| 207LA0401X Anesthesiology, Addiction Medicine (Licence: NY 223423) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 223423) | |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2024-08-13 |