| NPI | 1952727331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD FREDRICK EBBRECHT Billing Manager 646-732-2758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X010189-1) |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2014-03-17 |