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Individual

DR. DEREK J. GOLLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2839 ELMWOOD AVE, KENMORE, NY 14217-1330
(716) 873-0500
(716) 873-0500
Mailing address
2839 ELMWOOD AVE, KENMORE, NY 14217-1330
(716) 873-0500
(716) 873-0500

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
012224
NY

Other

Enumeration date
08/12/2012
Last updated
08/12/2012
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