| NPI | 1780811141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FENAR THEMOSTOCLE Owner 718-924-7909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: NY 217774) |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain (Licence: NY 217744) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 217744) | |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2010-01-08 |