| NPI | 1801494950 |
|---|---|
| Doing Business As | ADVANCED CHIROPRACTIC & SPORTS REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | JAMES KENNEDY Co Owner/Doctor 631-875-3993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |