| NPI | 1760939599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON SIEFFERMAN Medical Director 646-580-3538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 250539) | |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2022-10-23 |