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Organization
TRINITY CHIROPRACTIC, PLLC
Active
Organization
TRINITY CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENISE L MIRANDA D.C. (MEMBER)
(315) 469-9120
Entity
Organization
Contact information
Practice address
4583 NORTH ST, JAMESVILLE, NY 13078-9461
(315) 469-9120
(315) 469-9124
Mailing address
4583 NORTH ST, JAMESVILLE, NY 13078-9461
(315) 469-9120
(315) 469-9124
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X010412-2
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000144576
EXCELLUS BLUE CROSS BLUE SHIELD
—
Enumeration date
05/19/2008
Last updated
05/19/2008
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