| 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 |