| NPI | 1013355478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY DIMARCO Chief Operating Officer / Secretary 917-434-9669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2013-06-07 |