| NPI | 1265763254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA ANN CHARLES CEO 212-348-7876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor Neurology (Licence: NY 009333-1) |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2010-01-15 |