Organization
DERLETH CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAULA MARY DERLETH D.C. (OWNER/CHIROPRACTOR)
(585) 598-3535
Entity
Organization
Contact information
Practice address
1387 FAIRPORT RD, SUITE 640, FAIRPORT, NY 14450-2003
(585) 598-3535
(585) 598-3534
Mailing address
1387 FAIRPORT RD, SUITE 640, FAIRPORT, NY 14450-2003
(585) 598-3535
(585) 598-3534
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
011622
NY
Other
Enumeration date
04/22/2009
Last updated
04/22/2009
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