Rush-henrietta Family Chiropractic Pc | |
4029 W Henrietta Rd, Rochester, NY 14623-5221 | |
(585) 260-3739 | |
Not Available |
Full Name | Rush-henrietta Family Chiropractic Pc |
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Type | Facility |
Speciality | Chiropractor |
Location | 4029 W Henrietta Rd, Rochester, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1518498930 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 012756 (New York) | Primary |
Provider Name | Ryan Wong |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1194190611 PECOS PAC ID: 9335416452 Enrollment ID: I20170426000528 |
Mailing Address | Practice Location Address |
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Rush-henrietta Family Chiropractic Pc 4029 W Henrietta Rd, Rochester, NY 14623-5221 Ph: (585) 260-3739 | Rush-henrietta Family Chiropractic Pc 4029 W Henrietta Rd, Rochester, NY 14623-5221 Ph: (585) 260-3739 |
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