| NPI | 1386709178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY RAYMOND DECESARE Manager 845-635-5002 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY x008697) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY x0068561) |
| 207YX0901X Otolaryngology, Otology & Neurotology (Licence: NY 147245) | |
| 225100000X Physical Therapist (Licence: NY 014665-1) | |
| 225100000X Physical Therapist (Licence: NY 025281-1) | |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2008-09-10 |