| NPI | 1144918103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN DEYO Manager 845-294-0819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2023-04-27 |