| NPI | 1669185039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD MARINGOLA Managing Member 203-237-6325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2023-01-02 |
| Last Update Date | 2023-01-02 |