Individual
DANIEL G. JIVIDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
66 NICHOLS ST, SPENCERPORT, NY 14559-2192
(585) 352-3254
(585) 349-7194
Mailing address
PO BOX 412, SPENCERPORT, NY 14559-0412
(585) 352-3254
(585) 349-7194
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X007764-1
NY
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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