| NPI | 1902271414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED MUNASSAR Chiropractor 716-675-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NY 70012570) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |