| NPI | 1164936514 |
|---|---|
| Doing Business As | ACTIVE CHIROPRACTIC OF RYE |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE E LORD Provider/Authorized Official 914-409-8385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X012102-1) |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2018-06-16 |