| NPI | 1679767107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER THOMAS O'CONNOR President 718-370-0074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: NY x010462) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2007-08-28 |