Healthcare Provider Details

I. General information

NPI: 1861396509
Provider Name (Legal Business Name): HANNAH FAITH WOJTULSKI-CAPODICASA DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4214 CLINTON ST
WEST SENECA NY
14224-1606
US

IV. Provider business mailing address

781 S DIVISION ST
BUFFALO NY
14210-1159
US

V. Phone/Fax

Practice location:
  • Phone: 716-675-2225
  • Fax: 716-675-2222
Mailing address:
  • Phone: 716-675-2225
  • Fax: 716-675-2222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX014111
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: