Individual
MR. JOHN SYRACUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2733 SOUTH MAIN ST, NEWFANE, NY 14108
(716) 778-9282
(716) 778-6742
Mailing address
2733 SOUTH MAIN ST, NEWFANE, NY 14108
(716) 778-9282
(716) 778-6742
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X0084131
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1615959753
PRISM
NY
01
—
8890272
INDEPENDENT HEALTH
NY
01
—
C084139B
WORKERS COMP
—
Enumeration date
04/04/2007
Last updated
07/08/2007
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