| NPI | 1649468430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT PASTUCH Vice President 516-822-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X2447) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY x006042) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2007-10-05 |