MEDICARE: DR. MATTHEW ALEXANDER FRACZEK-SYCZYK DC, MSACN

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	013443	NY

General Provider Information

NPI Number	:	1457943169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW ALEXANDER FRACZEK-SYCZYK DC, MSACN

Provider Business Mailing Address
First Line	:	9102 ROMAINE RD
Second Line	:
City	:	COHOES
State	:	NY
Zip	:	12047-5412
Country	:	US
Telephone Number	:	845-616-6988
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 CHELSEA PL
Second Line	:
City	:	CLIFTON PARK
State	:	NY
Zip	:	12065-3227
Country	:	US
Telephone Number	:	518-373-6545
Fax Number	:	518-373-1769

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

Provider Enumeration Date	:	02/04/2021
Last Update Date	:	02/04/2021

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