| NPI | 1982214029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A. GENTILE President 631-821-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |