Organization
NEW LEAF FAMILY CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MICHAEL FLORANCE DC, MSACN (OWNER)
(607) 221-8765
Entity
Organization
Contact information
Practice address
149 MAIN ST, WINDSOR, NY 13865-4131
(607) 655-5500
(607) 655-1960
Mailing address
149 MAIN ST, WINDSOR, NY 13865-4131
(607) 655-5500
(607) 655-1960
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X011772-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J100010474
MEDICARE PTAN
NY
Enumeration date
11/09/2012
Last updated
11/09/2012
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