| NPI | 1821676198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NESTOR NICOLAIDES Owner/Operator 516-705-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NI0013X Chiropractor, Independent Medical Examiner |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2021-04-12 |