| NPI | 1407978489 |
|---|---|
| Doing Business As | BACK TO LIFE CHIROPRACTIC SERVICES |
| Entity Type | Organization |
| Authorized Contact | JOHN FERNANDEZ President 718-424-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: NY C-007735-6B) |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: NY C-007735-6B) |
| 111NS0005X Chiropractor, Sports Physician (Licence: NY C-007735-6B) | |
| 111NX0800X Chiropractor, Orthopedic (Licence: NY C-007735-6B) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |