| NPI | 1972712263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BABURAO DODDAPANENI President 718-499-4995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 2081H0002X Physical Medicine & Rehabilitation, Hospice and Palliative Medicine |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |