| NPI | 1912291949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONG WON YOM President 718-888-1641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: NY 1213) |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain (Licence: NY 4025) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2011-06-07 |