# FAIRPORT CHIROPRACTIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033575626
- **Authorized official:** DR. BENJAMIN A CARUSO D.C. (DOCTOR OF CHIROPRACTIC)
- **Authorized official phone:** (585) 381-7724

## Contact information

- **Practice address:** 1157 FAIRPORT RD, FAIRPORT, NY 14450-1237
- **Practice address phone:** (585) 381-7724
- **Practice address fax:** (585) 381-3346
- **Mailing address:** 1157 FAIRPORT RD, FAIRPORT, NY 14450-1237
- **Mailing address phone:** (585) 381-7724
- **Mailing address fax:** (585) 381-3346

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X3976 | NY | Yes |

## Other

- **Enumeration date:** 01/12/2016
- **Last updated:** 01/12/2016
