| NPI | 1578974077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GONZALO PATRICIO CORRIDORI Owner/Operator 516-222-2455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X011791-1) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2014-05-19 |