NPI | 1447424072 |
---|---|
Doing Business As | BLOCK SPORTS CHIROPRACTIC AND PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | JEFFREY M BLOCK President 631-543-0004 |
Organization Subpart ? | No |
Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: NY X006746-1) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X008466-1) |
Enumeration Date | 2008-04-15 |
Last Update Date | 2019-07-25 |