| NPI | 1376798983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH WILLIAM MIRANTE Managing Member 203-245-8217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 001711) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2009-01-02 |