Organization
CHAUTAUQUA HEALTH & FITNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK S. ELLWOOD (OWNER)
(716) 363-6383
Entity
Organization
Contact information
Practice address
1170 CENTRAL AVE, DUNKIRK, NY 14048-3424
(716) 363-6383
(716) 363-6384
Mailing address
1170 CENTRAL AVE, DUNKIRK, NY 14048-3424
(716) 363-6383
(716) 363-6384
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
07/21/2011
Last updated
07/21/2011
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