| NPI | 1861918781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG SHALMI Owner/Physician 631-422-6166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2017-09-06 |