| NPI | 1790022424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK J. GOLLEY President/Chiropractor 716-873-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 012224) |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2013-01-15 |