| NPI | 1679704092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL DRAKE Office Administrator 518-869-3884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY x008434-1) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY x009067-1) |
| 225100000X Physical Therapist (Licence: NY 019993) | |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2014-03-27 |