# BACK TO THE FUTURE CHIROPRACTIC

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

## Provider details

- **NPI number:** 1205146388
- **Authorized official:** DR. VINCENT J SCALISI D.C. (OWNER)
- **Authorized official phone:** (315) 863-3316

## Contact information

- **Practice address:** 7687 FRONTAGE RD, INSIDE CHAMPIONS FITNESS CENTER, CICERO, NY 13039-8742
- **Practice address phone:** (315) 863-3316
- **Practice address fax:** (315) 452-5971
- **Mailing address:** 7687 FRONTAGE RD, INSIDE CHAMPIONS FITNESS CENTER, CICERO, NY 13039-8742
- **Mailing address phone:** (315) 863-3316
- **Mailing address fax:** (315) 452-5971

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X008108 | NY | Yes |

## Other

- **Enumeration date:** 10/07/2010
- **Last updated:** 10/07/2010