| NPI | 1497012298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW BROOKS CLEARY Owner 585-455-9576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA 008848) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: NY 008848) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2013-02-06 |