| NPI | 1235901331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN CAROLLO Member 212-393-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2023-10-23 |