| NPI | 1316032253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROLD BLATT Pres 718-454-0737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2015-02-11 |