# ONTARIO FAMILY CHIROPRACTIC P.C.

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

## Provider details

- **NPI number:** 1912220146
- **Authorized official:** DR. TEON STEVEN KOWALYK D.C. (CHIROPRACTOR/OWNER)
- **Authorized official phone:** (315) 524-2835

## Contact information

- **Practice address:** 1422 NYS ROUTE 104, ONTARIO, NY 14519-9561
- **Practice address phone:** (315) 524-2835
- **Practice address fax:** (315) 524-3164
- **Mailing address:** 1422 NYS ROUTE 104, ONTARIO, NY 14519-9561
- **Mailing address phone:** (315) 524-2835
- **Mailing address fax:** (315) 524-3164

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X011472-1 | NY | Yes |

## Other

- **Enumeration date:** 03/02/2010
- **Last updated:** 02/17/2014
