| NPI | 1922372028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YASELLYN DIAZ-VEGA Chiropractor 585-266-2782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 10954) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 10869) |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2012-03-07 |