| NPI | 1376842666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW STEPHEN DUBE Owner 917-837-2054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: NJ 38MC00615000) |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2011-03-25 |