Organization
CHILDRESS CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CODY CHILDRESS DC (OWNER)
(315) 449-4465
Entity
Organization
Contact information
Practice address
4317 E GENESEE ST, SUITE 101, DE WITT, NY 13214-2114
(315) 449-4465
(315) 449-4466
Mailing address
4317 E GENESEE ST, SUITE 101, DE WITT, NY 13214-2114
(315) 449-4465
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X012698-1
NY
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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