| NPI | 1477742120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLAS ANTHONY FENNELLI President 732-925-3169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X009917) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2007-10-18 |