# FINGER LAKES CHIROPRACTIC & MASSAGE THERAPY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Finger Lakes Spine & Body Works
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093049611
- **Authorized official:** DR. JASON R COBURN D.C. (CHIROPRACTOR)
- **Authorized official phone:** (607) 844-3304

## Contact information

- **Practice address:** 87 W. MAIN ST., DRYDEN, NY 13053
- **Practice address phone:** (607) 844-3304
- **Practice address fax:** (607) 708-4191
- **Mailing address:** PO BOX 1153, DRYDEN, NY 13053-1153
- **Mailing address phone:** (607) 844-3304
- **Mailing address fax:** (607) 708-4191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 70 011401 | NY | Yes |
| 111N00000X | Chiropractor | 70 011737 | NY | — |

## Other

- **Enumeration date:** 09/29/2009
- **Last updated:** 08/09/2011