| NPI | 1801964473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW WALSH Authorized Official 516-945-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 174400000X Specialist |
| 207LP2900X Anesthesiology, Pain Medicine | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2023-03-15 |