# FUNCTIONAL LIVING CHIROPRACTIC, PLLC

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

## Provider details

- **NPI number:** 1528752458
- **Authorized official:** KRISTIN BEZEK DC (OWNER)
- **Authorized official phone:** (585) 469-1571

## Contact information

- **Practice address:** 2132 FIVE MILE LINE RD STE E, PENFIELD, NY 14526-2209
- **Practice address phone:** (585) 469-1571
- **Practice address fax:** (585) 203-1741
- **Mailing address:** 2132 FIVE MILE LINE RD STE E, PENFIELD, NY 14526-2209
- **Mailing address phone:** (585) 469-1571
- **Mailing address fax:** (585) 203-1741

## Taxonomy

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

## Other

- **Enumeration date:** 06/05/2023
- **Last updated:** 06/05/2023