| NPI | 1962762591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY-ANN FLYNN Office Manager 212-475-8104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X008846) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 440113063) |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2019-06-12 |