| NPI | 1407105554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIGH DAMKOHLER President 914-523-7947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: NY X010907) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2012-09-05 |