| NPI | 1407112972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERSTIN MEDWIN Chiropractor 518-435-1280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NY X010877-1) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2012-04-13 |