Individual
MATHIAS GABRIEL BACKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
242 W MAIN ST STE 101, ROCHESTER, NY 14614-1144
(585) 413-1965
(585) 563-7475
Mailing address
242 W MAIN ST STE 101, ROCHESTER, NY 14614-1144
(585) 413-1965
(585) 563-7475
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
013677
NY
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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