| NPI | 1891964821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J CIFRA Owner 315-454-0656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: NY X007173-1) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X007173) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2009-03-24 |