| NPI | 1982344578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA LYNN PEETS Partner 631-849-6363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2022-03-31 |