| NPI | 1124319496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW LEWIS President 718-813-9299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: NY x010428) |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2011-04-21 |