NPI | 1164721205 |
---|---|
Entity Type | Organization |
Authorized Contact | DEAN LOMBARDO Chiropractor/Nutritionist 631-385-0207 |
Organization Subpart ? | No |
Primary Taxonomy | 133N00000X Nutritionist (Licence: NY 003726) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X006509) |
Enumeration Date | 2011-03-15 |
Last Update Date | 2011-05-10 |