| NPI | 1841003928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YURA STOLY Medical Director 718-704-9909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2025-01-31 |
| Last Update Date | 2025-01-31 |