| NPI | 1922486182 |
|---|---|
| Other Name | BACK AND NECK PAIN CENTER |
| Entity Type | Organization |
| Authorized Contact | SHARON DONNELLY Project Director 631-473-1320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-05-08 |