| NPI | 1225262785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUDY A GEHRMAN Owner 718-260-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X010420) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY XD010420-1) |
| 225100000X Physical Therapist (Licence: NY 0081641) | |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2016-07-28 |