Individual
DANIELLE DORCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4225 GENESEE ST, CHEEKTOWAGA, NY 14225-1994
(716) 906-5905
Mailing address
4225 GENESEE ST, CHEEKTOWAGA, NY 14225-1994
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002934
NY
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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