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NPI Code Detail

MEDICARE: ROCHESTER CHIROPRACTIC GROUP, LLP

MEDICARE: ROCHESTER CHIROPRACTIC GROUP, LLP
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
1111N00000XChiropractor003549NY

General Provider Information

NPI Number : 1437133212
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROCHESTER CHIROPRACTIC GROUP, LLP
Provider Business Mailing Address
First Line : 1687 ENGLISH RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14616-1609
Country : US
Telephone Number : 585-227-7720
Fax Number : 585-227-7858
Provider Business Practice Location Address
First Line : 1687 ENGLISH RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14616-1609
Country : US
Telephone Number : 585-227-7720
Fax Number : 585-227-7858
Authorized Official
Title or Position : CO-OWNER
Name : DR. JOHN M VENTURA
Credential : DC,DABCO
Telephone Number : 585-227-7720
Provider Enumeration Date : 12/05/2005
Last Update Date : 08/22/2020

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