| NPI | 1093970899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY IPPOLITO Chiropractor/Owner 631-669-6221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X0076831) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2014-03-07 |