| NPI | 1093853269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XERXES OSHIDAR President 718-332-5617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: NY co09080-5b) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |