NPI | 1285714865 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD VINCENT GOVERNALE Owner 718-259-2706 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: NY 161596) |
Enumeration Date | 2006-10-17 |
Last Update Date | 2020-08-22 |