| NPI | 1174820120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HORNEY Sole Owner Of Corporation 631-751-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X002824) |
| Enumeration Date | 2011-02-26 |
| Last Update Date | 2011-02-26 |