| NPI | 1073890935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN LAINE Chiropractic/President 718-951-0484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 2187382) |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2011-11-07 |