| NPI | 1740498781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA A MEGNA-VICINANZO Chiropractor 516-489-4811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X006345-1) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |