| NPI | 1164772026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY J SHAW Office Manager 212-751-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor Orthopedic (Licence: NY X008283-1) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2012-09-18 |