| NPI | 1972274884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMED ABDELBASSET ALI AO 917-370-1992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2021-09-22 |