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Organization
GRAND ISLAND CHIROPRACTIC PC
Active
Organization
GRAND ISLAND CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS J NOTARO D.C. (CHIROPRACTOR OWNER)
(716) 773-2222
Entity
Organization
Contact information
Practice address
2283 GRAND ISLAND BLVD, GRAND ISLAND, NY 14072-1819
(716) 773-2222
(866) 907-6157
Mailing address
2283 GRAND ISLAND BLVD, GRAND ISLAND, NY 14072-1819
(716) 773-2222
(866) 907-6157
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X009041
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000225223004
BLUE CROSS AND BLUE SHIEL
NY
01
—
5801989
GHI
NY
01
—
8890392
INDEPENDENT HEALTH ID
NY
01
—
HC09041-7
WORKERS COMPENSATION
NY
01
—
P00305508
RAILROAD MEDICARE ID
NY
Enumeration date
11/28/2006
Last updated
08/22/2020
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