Individual
DR. MARY ANN COLARUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
3671 SOUTHWESTERN BLVD, SUITE 213, ORCHARD PARK, NY 14127-1752
(716) 662-0900
Mailing address
3075 SOUTHWESTERN BLVD, SUITE 208, ORCHARD PARK, NY 14127-1749
(716) 662-0900
(716) 740-8059
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X007452-1
NY
Other
Enumeration date
10/19/2006
Last updated
09/09/2015
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