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 |