| NPI | 1508189671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET HUMPHREY President 212-489-8082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 188983) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY XO1551-1) |
| 171100000X Acupuncturist (Licence: NY 002460) | |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2010-03-03 |