| NPI | 1447604186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON REID COOPER Owner 646-941-5061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X010898) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 004751) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-04-19 |