Healthcare Provider Details

I. General information

NPI: 1295154664
Provider Name (Legal Business Name): STEVEN FOLEY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2014
Last Update Date: 04/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2164 HUDSON AVE
ROCHESTER NY
14617-3960
US

IV. Provider business mailing address

2164 HUDSON AVE
ROCHESTER NY
14617-3960
US

V. Phone/Fax

Practice location:
  • Phone: 585-467-7070
  • Fax: 585-467-7702
Mailing address:
  • Phone: 585-467-7070
  • Fax: 585-467-7702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: STEVEN K FOLEY
Title or Position: OWNER
Credential: DC
Phone: 585-467-7070