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NPI Code Detail

MEDICARE: RADEMACKER SPECIFIC CHIROPRACTIC, P.C.

MEDICARE: RADEMACKER SPECIFIC CHIROPRACTIC, P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorX010717-1NY
2111N00000XChiropractorX010716-1NY

General Provider Information

NPI Number : 1053408971
Entity Type Code : Organization
Provider Name (Legal Business Name) : RADEMACKER SPECIFIC CHIROPRACTIC, P.C.
Provider Business Mailing Address
First Line : 23 NORTH ST
Second Line : SUITE 7
City : CANANDAIGUA
State : NY
Zip : 14424-1053
Country : US
Telephone Number : 585-394-8430
Fax Number : 585-394-8154
Provider Business Practice Location Address
First Line : 23 NORTH ST
Second Line : SUITE 7
City : CANANDAIGUA
State : NY
Zip : 14424-1053
Country : US
Telephone Number : 585-394-8430
Fax Number : 585-394-8154
Authorized Official
Title or Position : VICE PRESIDENT
Name : DR. BREE RADEMACKER
Credential : D.C.
Telephone Number : 585-394-8430
Provider Enumeration Date : 10/10/2006
Last Update Date : 08/22/2020

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