# OPTIMUM CHIROPRACTIC OF WESTERN NEW YORK, PLLC

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

## Provider details

- **NPI number:** 1386960631
- **Authorized official:** DR. KEITH D MONDSCHEIN DC (SOLE MEMBER)
- **Authorized official phone:** (716) 833-1926

## Contact information

- **Practice address:** 2875 UNION RD, SUITE 351, CHEEKTOWAGA, NY 14227-1461
- **Practice address phone:** (716) 833-1926
- **Practice address fax:** (716) 681-9456
- **Mailing address:** 2875 UNION ROAD, SUITE 351, CHEEKTOWAGA, NY 14227-1461
- **Mailing address phone:** (716) 833-1926
- **Mailing address fax:** (716) 681-9456

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 011746 | NY | Yes |

## Other

- **Enumeration date:** 04/12/2010
- **Last updated:** 04/12/2010