| NPI | 1174260731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERWIN FRANCIS RICHARD Owner 914-310-3101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 208VP0000X | |
| 225100000X Physical Therapist | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2022-10-31 |