| NPI | 1306542188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE BOCCIO Owner 516-316-2032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2023-02-03 |
| Last Update Date | 2024-10-01 |