Organization
BALDWINSVILLE CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMANTHA DOUGHERTY (OFFICE MANAGER)
(315) 635-1231
Entity
Organization
Contact information
Practice address
2272 DOWNER STREET RD, BALDWINSVILLE, NY 13027-9701
(315) 635-1231
Mailing address
2272 DOWNER STREET RD, BALDWINSVILLE, NY 13027-9701
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X009094-1
NY
Other
Enumeration date
05/18/2007
Last updated
12/17/2007
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