| NPI | 1104125145 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ROBERT ALBANO Vice President 917-968-8991 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00670100) | 
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00481700) | 
| Enumeration Date | 2011-03-16 | 
| Last Update Date | 2011-03-16 |