NPI | 1114044856 |
---|---|
Doing Business As | ACTIVE AND WELL FAMILY CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | LISA CAMPIONE Owner 518-725-9355 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X010388) |
Enumeration Date | 2007-03-26 |
Last Update Date | 2020-08-22 |