| NPI | 1437460540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG BLOOM President 718-236-2930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X011452-1) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X008299) |
| 171100000X Acupuncturist (Licence: NY 004149) | |
| 171100000X Acupuncturist (Licence: NY 003728) | |
| 171100000X Acupuncturist (Licence: NY 003799) | |
| 173C00000X Reflexologist (Licence: NY 006834) | |
| 174400000X Specialist (Licence: NY 006834) | |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2010-06-24 |