| NPI | 1376776732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY S. DESANO Officer 718-296-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X006997-1) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 6703330001) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2013-04-16 |