| NPI | 1720512627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONRAD KAISER GOULD Member/Chiropractor 914-772-3835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 012882) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-04-18 |