| NPI | 1043322506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORELIK GORELIK President 718-376-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NI0900X Chiropractor, Internist (Licence: NY X010033) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: NY X010033) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-01-30 |