Healthcare Provider Details

I. General information

NPI: 1376818682
Provider Name (Legal Business Name): FAILING CHIROPRACTIC, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2012
Last Update Date: 03/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1880 EAST RIDGE ROAD SUITE 2
ROCHESTER NY
14622
US

IV. Provider business mailing address

1880 EAST RIDGE ROAD SUITE 2
ROCHESTER NY
14622
US

V. Phone/Fax

Practice location:
  • Phone: 585-544-3759
  • Fax: 585-544-3884
Mailing address:
  • Phone: 585-544-3759
  • Fax: 585-544-3884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number008930
License Number StateNY

VIII. Authorized Official

Name: DR. JEFFREY FAILING
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 585-544-3759