MEDICARE: COMPLETE CARE FAMILY CHIROPRACTIC, 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
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1326585613
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPLETE CARE FAMILY CHIROPRACTIC, PLLC

Provider Business Mailing Address
First Line	:	2139 N UNION ST STE 7
Second Line	:
City	:	SPENCERPORT
State	:	NY
Zip	:	14559-1261
Country	:	US
Telephone Number	:	585-617-3494
Fax Number	:	585-617-3496

Provider Business Practice Location Address
First Line	:	2139 N UNION ST STE 7
Second Line	:
City	:	SPENCERPORT
State	:	NY
Zip	:	14559-1261
Country	:	US
Telephone Number	:	585-617-3494
Fax Number	:	585-617-3496

Authorized Official
Title or Position	:	OWNER
Name	:	NICOLE CLEMENTE
Credential	:	DC
Telephone Number	:	585-617-3494

Provider Enumeration Date	:	01/24/2017
Last Update Date	:	01/09/2026

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