NPI | 1528566999 |
---|---|
Doing Business As | SOULSHINE CHIROPRACTIC STUDIO |
Entity Type | Organization |
Authorized Contact | LARA R KOSSOVER Dc 718-832-7390 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 011558-1) |
Enumeration Date | 2018-01-31 |
Last Update Date | 2021-10-12 |