Individual
ELLEN E. MATUSZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
215 N CAYUGA ST, ITHACA, NY 14850-4329
(607) 273-8110
(607) 273-8110
Mailing address
215 N CAYUGA ST, ITHACA, NY 14850-4329
(607) 273-8110
(607) 273-8110
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10155
NY
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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