| NPI | 1386810570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ROSENBERG Owner 516-593-7990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 007485) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: NY 007485) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2008-05-07 |