Individual
MICHAEL SALLACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
23 FATHER JOGUES PL STE 1, TICONDEROGA, NY 12883-1407
(518) 227-1323
Mailing address
8178 STATE ROUTE 8, BRANT LAKE, NY 12815-2307
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X013250-1
NY
Other
Enumeration date
09/02/2019
Last updated
09/02/2019
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