Organization
O NEILL CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRENCE PATRICK O NEILL DC (OWNER)
(716) 884-4450
Entity
Organization
Contact information
Practice address
616 POTOMAC AVE, BUFFALO, NY 14222-1214
(716) 884-4450
(716) 881-1217
Mailing address
616 POTOMAC AVE, BUFFALO, NY 14222
(716) 884-4450
(716) 881-1217
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X009399-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60910350
FEDERAL WORKERS COMP ID
NY
Enumeration date
01/16/2007
Last updated
08/22/2020
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