NPI | 1710483847 |
---|---|
Other Name | FUNCTIONAL HEALTH CARE GROUP PLLC |
Entity Type | Organization |
Authorized Contact | MATTHEW CRAIG LEWIS Owner 718-813-9299 |
Organization Subpart ? | No |
Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: FL CH12142) |
Enumeration Date | 2018-04-05 |
Last Update Date | 2024-11-18 |