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Organization

ATLAS CHIROPRACTIC OF SYRACUSE

Active
Other names
Atlas Chiropractic PC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SUZANNE TENWESTENEIND (EXECUTIVE DIRECTOR)
(315) 414-0224
Entity
Organization

Contact information

Practice address
141 SHOP CITY PLZ, SYRACUSE, NY 13206-1943
(315) 414-0224
Mailing address
141 SHOP CITY PLZ, SYRACUSE, NY 13206-1943
(315) 414-0224

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BA1441
MEDICARE PTAN
NY
Enumeration date
07/10/2013
Last updated
10/29/2013
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