| NPI | 1922305739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL SILVER Medical Director 718-782-6380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine (Licence: NY 169694) |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2015-08-21 |