| NPI | 1962856450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HASIB MIKAEL SARIJ Owner 516-336-8659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0000X Registered Nurse, Pain Management (Licence: 229328) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2016-04-20 |