| NPI | 1467768820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK S CORKIN Dba Owner/Operator 315-745-9166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY x011829-1) |
| Additional Taxonomies | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: NY x011829-1) |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2010-08-24 |