| NPI | 1710117940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRAIG GRANOVSKY President 718-265-3456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: NY 011465) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2009-07-22 |