Ellicott Square Chiropractic Pllc

NPI 1003009507 - Chiropractor - 111N00000X

NPI Details
NPI 1003009507
Enumeration Date 08/20/2007
Last Updated 08/20/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name NEAL PAUL NEAL
Position PRESIDENT
Phone (716) 852-2696
Fax (716) 852-2699
Practice Location
295 MAIN ST
SUITE 118
BUFFALO NY, 14203-2412, US
Phone (716) 852-2696
Fax (716) 852-2699
Business Location
295 MAIN ST
SUITE 118
BUFFALO NY, 14203-2412, US
Phone (716) 852-2696
Fax (716) 852-2699
Toxanomy
Taxonomy Code 111N00000X
License State New York
License Number 008944
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According to our database, Ellicott Square Chiropractic Pllc NPI is 1003009507, taxonomy code is 111N00000X and license number is 008944, license state is located at New York. Ellicott Square Chiropractic Pllc physically located at 295 Main St, Buffalo NY, 14203-2412. NPI Number 1033115704 has the healthcare provider type.

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1003009507 NPI number is provided on an as is basis without warranty of any kind. 1003009507 is maintained by the National Plan & Provider Enumeration System. The contents of Ellicott Square Chiropractic Pllc are for informational purposes only.