Healthcare Provider Details

I. General information

NPI: 1891560124
Provider Name (Legal Business Name): TOKARZ ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2023
Last Update Date: 11/16/2023
Certification Date: 11/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 HELENDALE RD STE 185
ROCHESTER NY
14609-3167
US

IV. Provider business mailing address

500 HELENDALE RD STE 185
ROCHESTER NY
14609-3167
US

V. Phone/Fax

Practice location:
  • Phone: 585-271-6080
  • Fax: 585-271-6816
Mailing address:
  • Phone: 585-271-6080
  • Fax: 585-271-6816

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: PHILLIP TOKARZ
Title or Position: PRESIDENT
Credential: DC
Phone: 585-465-9879