# GENESIS CHIROPRACTIC, P.C.

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

## Provider details

- **NPI number:** 1043484892
- **Authorized official:** DR. ENRIQUE T RODRIGUEZ D.C. (DOCTOR/OWNER)
- **Authorized official phone:** (716) 882-8800

## Contact information

- **Practice address:** 313 ELMWOOD AVE, BUFFALO, NY 14222-2203
- **Practice address phone:** (716) 882-8800
- **Practice address fax:** (716) 881-1382
- **Mailing address:** 313 ELMWOOD AVE, BUFFALO, NY 14222-2203
- **Mailing address phone:** (716) 882-8800
- **Mailing address fax:** (716) 881-1382

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X0076 | NY | Yes |

## Other

- **Enumeration date:** 04/14/2008
- **Last updated:** 04/14/2008