MEDICARE: ATLAS CHIROPRACTIC CARE, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1356825269
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLAS CHIROPRACTIC CARE, PLLC

Provider Business Mailing Address
First Line	:	2322 CLOVER ST
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14618-4125
Country	:	US
Telephone Number	:	585-442-1500
Fax Number	:	585-442-1510

Provider Business Practice Location Address
First Line	:	2322 CLOVER ST
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14618-4125
Country	:	US
Telephone Number	:	585-442-1500
Fax Number	:	585-442-1510

Authorized Official
Title or Position	:	OWNER
Name	:	NATALIE DABROWNY
Credential	:	D.C.
Telephone Number	:	585-442-1500

Provider Enumeration Date	:	09/18/2018
Last Update Date	:	09/18/2018

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