| NPI | 1639949035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERENA V HEARD Chiropractor 518-810-2952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2024-01-05 |
| Last Update Date | 2024-01-10 |