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NPI Code Detail

MEDICARE: LEE KRONERT DC

MEDICARE: LEE KRONERT DC
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
1111N00000XChiropractorOOO7472-6NY
2111N00000XChiropractor0007274-6NY

General Provider Information

NPI Number : 1780708594
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEE KRONERT DC
Provider Business Mailing Address
First Line : 449 BROAD ST
Second Line :
City : SALAMANCA
State : NY
Zip : 14779-1455
Country : US
Telephone Number : 716-945-1668
Fax Number :
Provider Business Practice Location Address
First Line : 449 BROAD ST
Second Line :
City : SALAMANCA
State : NY
Zip : 14779-1455
Country : US
Telephone Number : 716-945-1668
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2007
Last Update Date : 07/08/2007

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Directions to “ LEE KRONERT DC” Practice Location

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