MEDICARE: DR. ALEXANDRA KATHLEEN FIORE DC

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
1	111N00000X	Chiropractor	X012707-1	NY

General Provider Information

NPI Number	:	1104207737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDRA KATHLEEN FIORE DC

Provider Business Mailing Address
First Line	:	6385 STATE ROUTE 96
Second Line	:	SUITE 210 PHOENIX MILLS PLAZA
City	:	VICTOR
State	:	NY
Zip	:	14564-1411
Country	:	US
Telephone Number	:	315-368-8846
Fax Number	:

Provider Business Practice Location Address
First Line	:	6385 STATE ROUTE 96
Second Line	:	SUITE 210 PHOENIX MILLS PLAZA
City	:	VICTOR
State	:	NY
Zip	:	14564-1411
Country	:	US
Telephone Number	:	315-368-8846
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2015
Last Update Date	:	02/24/2016

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