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Organization
ROCHESTER CHIROPRACTIC CLINIC
Active
Organization
ROCHESTER CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YASELLYN DIAZ-VEGA DC (CHIROPRACTOR)
(585) 266-2782
Entity
Organization
Contact information
Practice address
1732 E RIDGE RD, ROCHESTER, NY 14622-2157
(585) 266-2782
(585) 266-2785
Mailing address
1732 E RIDGE RD, ROCHESTER, NY 14622-2157
(585) 266-2782
(585) 266-2785
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
10869
NY
111N00000X
Chiropractor
Primary
10954
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145441AN
PREFERRED CARESECONDPROVIDER
NY
01
—
152836AN
PREFERRED CAREMVP
NY
01
—
7475597
AETNASECOND PROVIDER
NY
01
—
7697600
AETNA
—
01
—
C108698W
WORKERSCOMPENSATION2NDPROVIDER
NY
01
—
C109548W
WORKERS COMPENSATION
NY
01
—
P010010869
BLUECROSSBLUE SHIELD SECOND PROVIDER
NY
01
—
P010010954
BLUE CROSS/BLUE SHIELD
NY
Enumeration date
03/07/2012
Last updated
03/07/2012
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