Organization
LACKAWANNA CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS JOHN TAYLOR JR. D.C. (PRESIDENT/OWNER)
(716) 823-1900
Entity
Organization
Contact information
Practice address
1198 RIDGE RD, LACKAWANNA, NY 14218-1817
(716) 823-1900
(716) 823-2730
Mailing address
1198 RIDGE RD, LACKAWANNA, NY 14218-1817
(716) 823-1900
(716) 823-2730
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X009889
NY
Other
Enumeration date
12/28/2016
Last updated
12/28/2016
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