| NPI | 1336525484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXI O FAKHARI Sole Member / Doctor 716-322-0290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X011485) |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2015-08-26 |