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 |