| NPI | 1073645750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY EMANUEL BUZZELL Owner 516-799-5956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor Orthopedic (Licence: NY X007296) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |