| NPI | 1790087237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BORIS NEKTALOV Chiropractor 347-829-6322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X011815) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2015-07-28 |