| NPI | 1336635671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT C. REISS Administrator 347-533-6180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X4486) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X4638) |
| 171100000X Acupuncturist (Licence: NY 001575) | |
| 225100000X Physical Therapist (Licence: NY 032642) | |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |