Healthcare Provider Details

I. General information

NPI: 1760517080
Provider Name (Legal Business Name): INTEGRATED CHIROPRACTIC OF ROCHESTER, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 02/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 MAIN ST
HILTON NY
14468-1211
US

IV. Provider business mailing address

16 MAIN ST
HILTON NY
14468-1211
US

V. Phone/Fax

Practice location:
  • Phone: 585-392-8100
  • Fax: 585-392-8126
Mailing address:
  • Phone: 585-392-8100
  • Fax: 585-392-8126

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER ZASTAWRNY
Title or Position: OWNER
Credential: D.C.
Phone: 585-392-8100