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 |