| NPI | 1326379850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER MAZUROVSKY President 917-648-1005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00677300) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 38MC00677300) |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2010-01-22 |