Organization
LEVICK CHIROPRACTIC
Active
Other names
Chiropractic Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELYN MICHELE RUSSELL D.C. (PRESIDENT)
(716) 298-0368
Entity
Organization
Contact information
Practice address
10158 NIAGARA FALLS BLVD, NIAGARA FALLS, NY 14304-2793
(716) 298-0368
(716) 298-0369
Mailing address
10158 NIAGARA FALLS BLVD, NIAGARA FALLS, NY 14304-2793
(716) 298-0368
(716) 298-0369
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X009724
NY
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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