NPI | 1104172055 |
---|---|
Entity Type | Organization |
Authorized Contact | ISIAH RAY ROBINSON Chiropractor 917-208-4058 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00701600) |
Enumeration Date | 2012-07-30 |
Last Update Date | 2012-08-02 |