| NPI | 1962499467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J CAMPO Chiropractor Owner 631-732-1386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X009193) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2019-03-08 |