| NPI | 1720113236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER WAYRICH Chiropractor 631-281-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: NY X009749-1) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |