Organization
ACTIVE CARE CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNY TSANG DC (OWNER/SOLE PROPRIETOR)
(585) 598-3458
Entity
Organization
Contact information
Practice address
6800 PITTSFORD PALMYRA RD, SUITE 420, FAIRPORT, NY 14450-3584
(585) 598-3458
(585) 598-3459
Mailing address
6800 PITTSFORD PALMYRA RD STE 220, FAIRPORT, NY 14450-3514
(585) 598-3458
(585) 598-3459
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
X0010870
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
666475
ACN
NY
01
—
7096545
AETNA
—
Enumeration date
03/22/2012
Last updated
04/04/2022
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