| NPI | 1851159388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOK TIMMY LANG Director 917-353-9717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-11 |