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 |