NPI | 1780907907 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY ANNE ROMAINE Chiropractor/Owner 631-281-0966 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X004616-1) |
Enumeration Date | 2010-03-02 |
Last Update Date | 2010-03-02 |