| NPI | 1720353303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH CARACCILO Owner 349-509-5907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: NY x006374-1) |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2025-05-23 |