NPI | 1356489173 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL RISKEVICH Manager 718-934-8484 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Additional Taxonomies | 171100000X Acupuncturist |
173000000X Legal Medicine | |
207Q00000X Family Medicine | |
Enumeration Date | 2007-02-02 |
Last Update Date | 2007-09-27 |