| NPI | 1295435154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW WERT Owner 718-332-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2024-01-12 |