| 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 |