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Organization
ATLAS CHIROPRACTIC OF SYRACUSE
Active
Organization
ATLAS CHIROPRACTIC OF SYRACUSE
Active
Other names
Atlas Chiropractic PC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUZANNE TENWESTENEIND (EXECUTIVE DIRECTOR)
(315) 414-0224
Entity
Organization
Contact information
Practice address
141 SHOP CITY PLZ, SYRACUSE, NY 13206-1943
(315) 414-0224
Mailing address
141 SHOP CITY PLZ, SYRACUSE, NY 13206-1943
(315) 414-0224
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
NULL
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BA1441
MEDICARE PTAN
NY
Enumeration date
07/10/2013
Last updated
10/29/2013
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