# JACLYN BORZA MAHER, D.C., PLLC

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

## Provider details

- **NPI number:** 1679993745
- **Authorized official:** DR. JACLYN BORZA MAHER D.C. (OWNER)
- **Authorized official phone:** (315) 730-7199

## Contact information

- **Practice address:** 726 WILLOW AVE, ITHACA, NY 14850-3215
- **Practice address phone:** (607) 256-0641
- **Mailing address:** 1012 N CAYUGA ST, ITHACA, NY 14850-3616
- **Mailing address phone:** (607) 256-0641

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X012461-1 | NY | Yes |

## Other

- **Enumeration date:** 04/16/2014
- **Last updated:** 06/19/2014