| NPI | 1134928849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARD J SMITH Owner 631-661-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2025-03-13 |
| Last Update Date | 2025-03-13 |