Individual
COLBY SHORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1738 RIDGE RD E, ROCHESTER, NY 14622-2157
(585) 544-1540
(585) 544-1580
Mailing address
190 PERRIN DR, ROCHESTER, NY 14622-2412
(585) 544-1540
(585) 544-1580
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
X009968
NY
Other
Enumeration date
07/13/2006
Last updated
07/11/2018
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