| NPI | 1740950948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS GREGORY Owner 201-716-9199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition |
| 111NR0400X Chiropractor, Rehabilitation | |
| Enumeration Date | 2021-09-18 |
| Last Update Date | 2021-09-18 |