Organization
USRH D.C. & P.T., P.C.
Active
Other names
Union Square Rehab & Health, D.C., P.T.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP J KACZMAREK D.C. (PRESIDENT)
(716) 656-0200
Entity
Organization
Contact information
Practice address
2448 UNION RD, CHEEKTOWAGA, NY 14227-2230
(716) 656-0200
(716) 656-0055
Mailing address
2448 UNION RD, CHEEKTOWAGA, NY 14227-2230
(716) 656-0200
(716) 656-0055
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
X010491-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5808655
GHI - GROUP HEALTH INC.
NY
01
—
646120
EMPIRE PLAN, ACN, MPN
NY
Enumeration date
10/29/2008
Last updated
10/29/2008
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