| NPI | 1720621196 |
|---|---|
| Doing Business As | COASTLINE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | NOEL GRAY Owner 315-573-4461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2019-10-18 |