| NPI | 1427520030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB JOSEPH CUKIERSKI Owner/Sole Proprietor 716-858-0264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2020-09-11 |