Individual
MEGI JANA ENDELADZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
468 DELAWARE AVE, BUFFALO, NY 14202
(716) 847-1200
(716) 847-1212
Mailing address
PO BOX 265, MILTON, NY 12547-0265
(845) 616-9485
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
013381
NY
Other
Enumeration date
07/21/2020
Last updated
11/03/2022
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