# CHAUTAUQUA HEALTH & FITNESS LLC

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

## Provider details

- **NPI number:** 1992093108
- **Authorized official:** MR. MARK S. ELLWOOD (OWNER)
- **Authorized official phone:** (716) 363-6383

## Contact information

- **Practice address:** 1170 CENTRAL AVE, DUNKIRK, NY 14048-3424
- **Practice address phone:** (716) 363-6383
- **Practice address fax:** (716) 363-6384
- **Mailing address:** 1170 CENTRAL AVE, DUNKIRK, NY 14048-3424
- **Mailing address phone:** (716) 363-6383
- **Mailing address fax:** (716) 363-6384

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174H00000X | Health Educator | — | NULL | Yes |
| 174H00000X | Health Educator | — | — | Yes |

## Other

- **Enumeration date:** 07/21/2011
- **Last updated:** 07/21/2011