Individual
DR. DANIEL JOSEPH MACK SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
658 RIDGE RD, WEBSTER, NY 14580-2350
(585) 671-0882
(585) 671-2417
Mailing address
658 RIDGE RD, WEBSTER, NY 14580-2350
(585) 671-0882
(585) 671-2417
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
X002857
NY
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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