| NPI | 1518189075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMER B MAZAHREH Partner 914-654-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY x009616) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY x008720) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2022-09-06 |