| NPI | 1679303168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS LONG Owner 718-206-3369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2024-08-07 |