| NPI | 1659534352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES PHONG NGUYEN Owner 646-772-1566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: NY X008941) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-30 |