| NPI | 1508267634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN S LEE Owner 201-585-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 111N00000X Chiropractor |
| 225100000X Physical Therapist (Licence: NJ 40QA01566300) | |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2021-10-04 |