| NPI | 1801031026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLEG BORISOV President 718-368-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: NJ 38MC00669300) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2008-12-03 |