| NPI | 1790574622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARIANNE YANTZ Admin 516-507-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2025-05-06 |
| Last Update Date | 2025-05-06 |