| NPI | 1679620009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE JUDITH BAUER Physcian 516-333-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY xoo4598 1) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 001796 1) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2010-03-26 |