| NPI | 1265578017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENNY KRUGLYAK Owner 973-772-6425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00465500) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01130200) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |