| NPI | 1518148089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA L FIORDALISI President 631-642-2388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 009368) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 010226) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2008-05-02 |