| NPI | 1972872901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE PERLOV President 917-648-1913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: NY 236752) |
| Additional Taxonomies | 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: NY 236752) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2011-12-21 |