| NPI | 1821580747 |
|---|---|
| Former Legal Business Name | PREMIER PAIN AND SPINE SOLUTIONS, LLC |
| Entity Type | Organization |
| Authorized Contact | TODD S. KOPPEL President 914-666-8866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2020-11-02 |