# O NEILL CHIROPRACTIC PC

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

## Provider details

- **NPI number:** 1831240845
- **Authorized official:** DR. TERRENCE PATRICK O NEILL DC (OWNER)
- **Authorized official phone:** (716) 884-4450

## Contact information

- **Practice address:** 616 POTOMAC AVE, BUFFALO, NY 14222-1214
- **Practice address phone:** (716) 884-4450
- **Practice address fax:** (716) 881-1217
- **Mailing address:** 616 POTOMAC AVE, BUFFALO, NY 14222
- **Mailing address phone:** (716) 884-4450
- **Mailing address fax:** (716) 881-1217

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X009399-1 | NY | Yes |

## Other

- **Enumeration date:** 01/16/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 60910350 | FEDERAL WORKERS COMP ID | NY |