Individual
CASEY S OKAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
44 N PEARL ST APT 42, BUFFALO, NY 14202-1416
(608) 320-9104
Mailing address
44 N PEARL ST APT 42, BUFFALO, NY 14202-1416
(608) 320-9104
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
077861
IA
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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