NPI | 1053636647 |
---|---|
Doing Business As | SAME |
Entity Type | Organization |
Authorized Contact | JASON BRATTNER Owner 718-667-2190 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X008612-1) |
Enumeration Date | 2010-04-07 |
Last Update Date | 2010-04-07 |