NPI | 1710080726 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK ALEX MANDEL Chiropractor/ Acupuncturist 631-543-4242 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X2058) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 1016) |
Enumeration Date | 2006-09-06 |
Last Update Date | 2011-12-16 |