Healthcare Provider Details

I. General information

NPI: 1508720160
Provider Name (Legal Business Name): PERFORMANCE HEALTH CHIROPRACTICE OF ROCHESTER, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2316 LYELL AVE STE 2
ROCHESTER NY
14606-5746
US

IV. Provider business mailing address

85 CLEARWATER CIR
ROCHESTER NY
14612-3090
US

V. Phone/Fax

Practice location:
  • Phone: 585-429-5100
  • Fax:
Mailing address:
  • Phone: 585-683-0685
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. ALEX MICHAEL ECKERT
Title or Position: PRESIDENT
Credential: DC
Phone: 585-683-0685