| NPI | 1164891487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY RODRIGUEZ Manager 718-888-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X003659-1) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X009478-1) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |