| NPI | 1508258245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA BERG Vice President 518-587-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X010555-1) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X010436-1) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2015-07-28 |