Organization · Type 2 NPI
Integrated Medical Interventional Diagnostics PC
Pain Management Registered Nurse · Farmingdale, NY
NPI number
1962856450
Active
Practice location
1111 Broad Hollow Rd 110 Suite 114
Farmingdale, NY 11735
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pain Management Registered Nurse Primary | 163WP0000X | 229328 |
Pain Management Registered Nurse: Definition to come...
About NPI 1962856450
Integrated Medical Interventional Diagnostics PC's National Provider Identifier is 1962856450, issued on Apr 20, 2016. The primary taxonomy on file is Pain Management Registered Nurse (163WP0000X), and the practice location is in Farmingdale, NY. The record was last updated on Apr 20, 2016.