MEDICARE: DR. PAWEL J PYRDA D.C.

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	X009264	NY

General Provider Information

NPI Number	:	1679545057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAWEL J PYRDA D.C.

Provider Business Mailing Address
First Line	:	572 MAIN ST
Second Line	:
City	:	NEW YORK MILLS
State	:	NY
Zip	:	13417-1449
Country	:	US
Telephone Number	:	315-736-2793
Fax Number	:	315-736-2990

Provider Business Practice Location Address
First Line	:	49 MAIN ST
Second Line	:
City	:	WHITESBORO
State	:	NY
Zip	:	13492-1022
Country	:	US
Telephone Number	:	315-733-4325
Fax Number	:	315-736-2990

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2006
Last Update Date	:	07/08/2007

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