| NPI | 1932314515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH VITOULIS Owner 516-599-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY x002413) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NY 205528) |
| 207Q00000X Family Medicine (Licence: NY 205528) | |
| 225700000X Massage Therapist (Licence: NY 017855) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |