# JAMESTOWN SPINE, LLC

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

## Provider details

- **NPI number:** 1073075271
- **Authorized official:** DR. ALEX VINCENT OGNIBENE DC (OWNER/MEMBER)
- **Authorized official phone:** (716) 483-6800

## Contact information

- **Practice address:** 1719 FOOTE AVENUE EXT, JAMESTOWN, NY 14701-9385
- **Practice address phone:** (716) 483-6800
- **Practice address fax:** (716) 487-2796
- **Mailing address:** 1719 FOOTE AVENUE EXT, JAMESTOWN, NY 14701-9385
- **Mailing address phone:** (716) 483-6800
- **Mailing address fax:** (716) 487-2796

## Taxonomy

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

## Other

- **Enumeration date:** 04/05/2019
- **Last updated:** 04/05/2019