| NPI | 1932115565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMRAN TABADDOR Owner 718-655-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology |
| 2084P2900X Psychiatry & Neurology Pain Medicine | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2022-07-21 |