NPI | 1225188907 |
---|---|
Entity Type | Organization |
Authorized Contact | TINA SHALLONIS Billing 732-332-9280 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X011159) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X007156-1) |
Enumeration Date | 2007-01-12 |
Last Update Date | 2020-08-22 |