| NPI | 1811915416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH BRADLEY CHAPMAN Chairman 917-868-3817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-07-08 |