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Individual

DR. THOMAS G. BARBA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C., CCSP

Contact information

Practice address
435 RIDGE ST, LEWISTON, NY 14092-1205
(716) 754-9039
(716) 754-9064
Mailing address
435 RIDGE ST, LEWISTON, NY 14092-1205
(716) 754-9039
(716) 754-9064

Taxonomy

Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
X005933-1
NY
111NS0005X
Sports Physician Chiropractor
X005933-1
NY

Other

Enumeration date
03/08/2010
Last updated
03/08/2010
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