Individual
JENNIFER L STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
14 STATE ST, SENECA FALLS, NY 13148-1596
(315) 712-4104
(315) 293-2247
Mailing address
14 STATE ST, SENECA FALLS, NY 13148-1596
(315) 712-4104
(315) 293-2247
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X010083
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110794AN
PREFERRED CARE
—
01
—
161608443
INSURE TAX ID
NY
01
—
P010110083
BLUE CHOICE
—
Enumeration date
07/20/2006
Last updated
10/19/2018
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