Organization
CMC CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FUYUKO IKEHARA ODDY D.C. (PRESIDENT)
(315) 622-1500
Entity
Organization
Contact information
Practice address
8134 OSWEGO RD, LIVERPOOL, NY 13090-1500
(315) 622-1500
Mailing address
8134 OSWEGO RD, LIVERPOOL, NY 13090-1500
(315) 622-1500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
009967
NY
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
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