| NPI | 1578774469 |
|---|---|
| Former Legal Business Name | LIBERTY WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | SEAN V COTTER AO/Provider 212-742-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X006851-1) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2018-06-16 |