| NPI | 1558660548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN LAINE President 718-951-0484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X011370-1) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X009589-1) |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2011-03-16 |