Organization · NPI-2
3045 Southwestern Chiropractic, PLLC
Chiropractor, Neurology · Orchard Park, NY
NPI number1295236180
StatusActive
Last updated in NPPESFeb 26, 2018
Details
- NPI
- 1295236180
- Entity type
- Organization (NPI-2)
- Legal business name
- 3045 Southwestern Chiropractic, PLLC
- Organization subpart
- No
- Enumeration date
- Feb 26, 2018
- Last updated
- Feb 26, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NN0400X | Chiropractor, Neurology | – | – | Yes |
Practice location
3045 Southwestern Blvd Ste 102Orchard Park, NY 14127-1209
Phone 716-573-6666
Mailing address
3045 Southwestern Blvd Ste 102Orchard Park, NY 14127-1209
Phone 716-573-6666
Authorized official
Stephen Novelli
Owner
7165736666
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