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NPI Code Detail

MEDICARE: CHIROPRACTIC HEALTH DIAGNOSTIC SERVICES

MEDICARE: CHIROPRACTIC HEALTH DIAGNOSTIC SERVICES
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
1111N00000XChiropractorX004818-1NY
2171100000XAcupuncturist003401-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17969278OTHERNYAETNA PROVIDER NUMBER

General Provider Information

NPI Number : 1679627657
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHIROPRACTIC HEALTH DIAGNOSTIC SERVICES
Provider Business Mailing Address
First Line : 625 PANORAMA TRL
Second Line : BUILDING ONE
City : ROCHESTER
State : NY
Zip : 14625-2404
Country : US
Telephone Number : 585-586-7630
Fax Number : 585-586-7695
Provider Business Practice Location Address
First Line : 625 PANORAMA TRL
Second Line : BUILDING ONE
City : ROCHESTER
State : NY
Zip : 14625-2404
Country : US
Telephone Number : 585-586-7630
Fax Number : 585-586-7695
Authorized Official
Title or Position : PRESIDENT
Name : STEVEN THOMAS SADLON
Credential : D.C., AND LAC
Telephone Number : 585-586-7630
Provider Enumeration Date : 01/23/2007
Last Update Date : 09/11/2025

Similar Medicare Providers

1366447831 — LESLIE F ALGASE MD
Practice Location Address:
625 PANORAMA TRAIL , BLDG 3, STE 100
ROCHESTER, NY
14625-2404
Practice Phone: 585-276-9361
Practice Fax: 585-641-0300
1225099989 — SARAH B NEMETZ MD
Practice Location Address:
625 PANORAMA TRAIL , BLDG 3, STE 100
ROCHESTER, NY
14625-2404
Practice Phone: 585-276-9361
Practice Fax: 585-641-0300
1457374167 — DR. MATTHEW ANDREW KAWIAK D.MIN., LCSW
Practice Location Address:
625 PANORAMA TRL , BLDG 1
ROCHESTER, NY
14625-2404
Practice Phone: 585-586-8650
Practice Fax: 585-387-0516
1669560967 — DR. RICHARD WESLEY MAINS JR. DMD
Practice Location Address:
625 PANORAMA TRL , BLDG 2; SUITE 200
ROCHESTER, NY
14625-2404
Practice Phone: 585-586-6670
Practice Fax: 585-586-6701
1922196245 — RICHARD W. MAINS,JR.,D.M.D., PC
Practice Location Address:
625 PANORAMA TRL , BLDG 2, SUITE 200
ROCHESTER, NY
14625-2404
Practice Phone: 585-586-6670
Practice Fax: 585-586-6701
1780768945 — MATTHEW SMITH MD, DDS
Practice Location Address:
625 PANORAMA TRL , BLDG 2, SUITE 230
ROCHESTER, NY
14625-2404
Practice Phone: 585-264-1970
Practice Fax:

Directions to “CHIROPRACTIC HEALTH DIAGNOSTIC SERVICES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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