# ATLAS CHIROPRACTIC OF SYRACUSE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Atlas Chiropractic PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578904272
- **Authorized official:** MRS. SUZANNE TENWESTENEIND (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (315) 414-0224

## Contact information

- **Practice address:** 141 SHOP CITY PLZ, SYRACUSE, NY 13206-1943
- **Practice address phone:** (315) 414-0224
- **Mailing address:** 141 SHOP CITY PLZ, SYRACUSE, NY 13206-1943
- **Mailing address phone:** (315) 414-0224

## Taxonomy

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

## Other

- **Enumeration date:** 07/10/2013
- **Last updated:** 10/29/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | BA1441 | MEDICARE PTAN | NY |