# BACK TO BASICS CHIROPRACTIC

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

## Provider details

- **NPI number:** 1629400668
- **Authorized official:** MR. BRIAN C PUNTURIERO D.C. (OWNER)
- **Authorized official phone:** (716) 446-0048

## Contact information

- **Practice address:** 3620 HARLEM RD, SUITE 1, CHEEKTOWAGA, NY 14215-2042
- **Practice address phone:** (716) 446-0048
- **Practice address fax:** (716) 446-0411
- **Mailing address:** 3620 HARLEM RD, SUITE 1, CHEEKTOWAGA, NY 14215-2042
- **Mailing address phone:** (716) 446-0048
- **Mailing address fax:** (716) 446-0411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X010801-1 | NY | Yes |

## Other

- **Enumeration date:** 08/01/2013
- **Last updated:** 09/12/2013