| NPI | 1639358799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES JOSEPH SMUTNY CEO/President 631-486-4720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NY 60-206232) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2009-05-26 |