| NPI | 1962664169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAIN HAIDER Director 315-798-8737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 208VP0000X |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2008-06-28 |
| Last Update Date | 2018-06-20 |