| NPI | 1952467722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK W DECASARE Owner 845-339-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X004697) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X006381) |
| 111N00000X Chiropractor (Licence: NY X008548) | |
| 111N00000X Chiropractor (Licence: X008697) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2010-01-19 |