Individual
GERALD J MOZINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3247 DELAWARE AVENUE, KENMORE, NY 14217-1728
(716) 875-5070
(716) 875-5073
Mailing address
3247 DELAWARE AVENUE, KENMORE, NY 14217-1728
(716) 875-5070
(716) 875-5073
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X0025841
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0025843
WCB
NY
Enumeration date
11/29/2006
Last updated
07/08/2007
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