Organization
BACK TO THE FUTURE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT J SCALISI D.C. (OWNER)
(315) 863-3316
Entity
Organization
Contact information
Practice address
7687 FRONTAGE RD, INSIDE CHAMPIONS FITNESS CENTER, CICERO, NY 13039-8742
(315) 863-3316
(315) 452-5971
Mailing address
7687 FRONTAGE RD, INSIDE CHAMPIONS FITNESS CENTER, CICERO, NY 13039-8742
(315) 863-3316
(315) 452-5971
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X008108
NY
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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