NPI | 1073650248 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID SUSSMAN President 315-378-0071 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 171100000X Acupuncturist |
204D00000X Neuromusculoskeletal Medicine & OMM | |
Enumeration Date | 2007-01-30 |
Last Update Date | 2007-09-30 |