| NPI | 1417556614 |
|---|---|
| Doing Business As | NORTHEAST SPINE & SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DIMITRIOS LAMBROU Owner 327-140-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |