| NPI | 1396724480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN P PHALEN General Partner 716-832-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X010360-1 X010361-1) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2020-08-22 |