| NPI | 1790283182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAQAS PERVAIZ Chiropractor 518-289-5229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X012859-1) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: NY X006175-1) |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2018-06-20 |