NPI | 1275851263 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY J. KOSTEK Owner/Provider 716-634-4133 |
Organization Subpart ? | No |
Primary Taxonomy | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: NY X006972) |
Enumeration Date | 2010-05-14 |
Last Update Date | 2024-06-26 |