| NPI | 1881658060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIMALA THANIK Owner 585-244-7748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: NY 121860) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2007-12-20 |