| NPI | 1740360130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAOLO THOMAS COPPOLA Dc 631-289-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2015-01-28 |