| NPI | 1942576210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER ENRIQUE MENDOZA Chiropractor 516-213-4610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: NY 010611) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2012-03-30 |