# GENESEE COUNTRY CHIROPRACTIC PLLC

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

## Provider details

- **NPI number:** 1932807955
- **Authorized official:** SHANNON LEE BONCZYK (OWNER)
- **Authorized official phone:** (585) 639-4652

## Contact information

- **Practice address:** 7133 W MAIN RD STE 1, LE ROY, NY 14482-9380
- **Practice address phone:** (585) 639-4652
- **Practice address fax:** (585) 510-4527
- **Mailing address:** 7133 W MAIN RD STE 1, LE ROY, NY 14482-9380
- **Mailing address phone:** (585) 813-5157
- **Mailing address fax:** (585) 510-4527

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 02/20/2023
- **Last updated:** 04/26/2024