| NPI | 1225870736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN GRUEN Dc 646-664-1891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2024-06-07 |
| Last Update Date | 2024-06-07 |