| NPI | 1679117881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANGWOO MAH Managing Member 718-746-4919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 171100000X Acupuncturist |
| 225100000X Physical Therapist | |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-11-27 |