| NPI | 1912129404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUL JOSE MASAKAYAN President 631-463-1175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 211412) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2023-03-07 |