NPI | 1730578113 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL R MARINO Owner 585-857-3456 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X011569) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 004293) |
Enumeration Date | 2015-01-22 |
Last Update Date | 2019-06-21 |