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Countryside Family Chiropractic PLLC

Chiropractor in Canandaigua, NY. Organization (NPI-2).

NPI number1982207155
StatusActive
Last updated in NPPESFeb 10, 2026

Details

NPI
1982207155
Entity type
Organization (NPI-2)
Legal business name
Countryside Family Chiropractic PLLC
Organization subpart
No
Enumeration date
Nov 19, 2020
Certification date
Feb 10, 2026
Last updated
Feb 10, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor––Yes

Practice location

4385 Recreation Dr
Canandaigua, NY 14424-2232

Phone 585-449-9874

Mailing address

4385 Recreation Dr
Canandaigua, NY 14424-2232

Phone 585-905-0036 · Fax 800-974-2190

Authorized official

Jodie Marie Lasky
Chiropractor/Owner
5859050036

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