Individual
DONALD JORDAN CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7060 ERIE RD, SUITE 300, DERBY, NY 14047-9416
(716) 947-0139
(716) 947-0320
Mailing address
6470 MAIN ST, STE 2, WILLIAMSVILLE, NY 14221-5851
(716) 580-3577
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
011453
NY
Other
Enumeration date
07/24/2008
Last updated
11/19/2020
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