NPI | 1750805446 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL JOHN D'AVANZO Owner/Chiropractor 212-379-6535 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 010261) |
Enumeration Date | 2017-08-03 |
Last Update Date | 2018-11-15 |