Organization
DANIEL G JIVIDEN, DC CHIROPRACTIC SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL G. JIVIDEN DC (PRESIDENT OWNER)
(585) 652-3254
Entity
Organization
Contact information
Practice address
66 NICHOLS ST, SPENCERPORT, NY 14559-2192
(585) 352-3254
Mailing address
PO BOX 412, SPENCERPORT, NY 14559-0412
(585) 352-3254
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X0077641
NY
Other
Enumeration date
01/25/2007
Last updated
08/22/2020
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