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NPI Code Detail

MEDICARE: CHIROPRACTIC ELEVATED PLLC

MEDICARE: CHIROPRACTIC ELEVATED 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
1111N00000XChiropractor

General Provider Information

NPI Number : 1831750694
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHIROPRACTIC ELEVATED PLLC
Provider Business Mailing Address
First Line : 1291 93RD ST
Second Line :
City : NIAGARA FALLS
State : NY
Zip : 14304-2607
Country : US
Telephone Number : 716-799-4582
Fax Number : 716-774-8004
Provider Business Practice Location Address
First Line : 101 LANG BLVD
Second Line :
City : GRAND ISLAND
State : NY
Zip : 14072-1601
Country : US
Telephone Number : 716-799-4582
Fax Number : 716-774-8004
Authorized Official
Title or Position : OWNER
Name : DR. MICHAEL J. CALARCO
Credential : DC
Telephone Number : 716-799-4582
Provider Enumeration Date : 06/24/2019
Last Update Date : 06/24/2019

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Directions to “CHIROPRACTIC ELEVATED PLLC ” Practice Location

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