Individual provider · NPI-1

Dr. Mary Ann Colarusso, D.C.

Chiropractor · Orchard Park, NY

NPI number1215019674
StatusActive
Last updated in NPPESSep 9, 2015

Details

NPI
1215019674
Entity type
Individual (NPI-1)
Name
Dr. Mary Ann Colarusso
Credential
D.C.
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 19, 2006
Last updated
Sep 9, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X ChiropractorX007452-1NYYes

Practice location

3671 Southwestern Blvd
Suite 213
Orchard Park, NY 14127-1752

Phone 716-662-0900

Mailing address

3075 Southwestern Blvd
Suite 208
Orchard Park, NY 14127-1749

Phone 716-662-0900 · Fax 716-740-8059

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