Individual
DR. ELYSSA E BOURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
98 COTTAGE ST, BUFFALO, NY 14201-2015
(646) 823-6223
Mailing address
98 COTTAGE ST, BUFFALO, NY 14201-2015
(646) 823-6223
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
011755
NY
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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