NPI | 1962878454 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY M STEIN Owner 631-772-7000 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: NY x3391) |
Enumeration Date | 2015-08-19 |
Last Update Date | 2015-08-19 |