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NPI Code Detail

MEDICARE: TOTAL CHIROPRACTIC OF NORTH SYRACUSE PLLC

MEDICARE: TOTAL CHIROPRACTIC OF NORTH SYRACUSE PLLC
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
1111N00000XChiropractorX008688-1NY

General Provider Information

NPI Number : 1225398167
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOTAL CHIROPRACTIC OF NORTH SYRACUSE PLLC
Provider Business Mailing Address
First Line : 451 SOUTH MAIN STREET
Second Line :
City : NORTH SYRACUSE
State : NY
Zip : 13212-2811
Country : US
Telephone Number : 315-214-0404
Fax Number : 315-214-0405
Provider Business Practice Location Address
First Line : 451 S MAIN ST
Second Line :
City : NORTH SYRACUSE
State : NY
Zip : 13212-2811
Country : US
Telephone Number : 315-214-0404
Fax Number : 315-214-0405
Authorized Official
Title or Position : OWNER /PRESIDENT
Name : DR. SCOTT THOMAS KOZLOWSKI
Credential : D.C.
Telephone Number : 315-214-0404
Provider Enumeration Date : 05/25/2012
Last Update Date : 06/08/2012

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Directions to “TOTAL CHIROPRACTIC OF NORTH SYRACUSE PLLC ” Practice Location

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