| NPI | 1144360124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAXIM TYORKIN Supervising Physician 718-939-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: NY 239365-1) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |