| NPI | 1023533437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTY DICKASON Chiropractor/Owner 718-701-6490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X011382) |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2022-07-21 |