| NPI | 1003118969 |
|---|---|
| Doing Business As | CHAMPION PERFORMANCE AND REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | JAMES GUCCIARDI Owner 631-675-2758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 010407) |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2024-04-03 |