| NPI | 1740045871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN MIKHAYLOFF Managing Member 917-957-0397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-02-19 |