NPI | 1912607300 |
---|---|
Doing Business As | CLEARWAY PAIN SOLUTIONS |
Entity Type | Organization |
Authorized Contact | IRA KORNBLUTH President 855-527-7246 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
207L00000X Anesthesiology | |
208VP0000X Pain Medicine, Pain Medicine | |
208VP0014X Pain Medicine, Interventional Pain Medicine | |
225100000X Physical Therapist | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2023-03-06 |
Last Update Date | 2023-05-18 |