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Wellness Sport & Spine Chiropractic Pllc
Chiropractor in Vestal, New York
NPI 1417009283

Wellness Sport & Spine Chiropractic Pllc is a Chiropractor based in Vestal, NY. Wellness Sport & Spine Chiropractic Pllc practices in Vestal, NY. The NPI Number for Wellness Sport & Spine Chiropractic Pllc is 1417009283 and holds a License No. X009961-1 (New York).

The current practice location address for Wellness Sport & Spine Chiropractic Pllc is 130 Front St, Vestal, NY and can be reached out via phone at 607-786-3601 and via fax at 607-834-7029.

Location: 130 Front St, Vestal, NY, 13850-1562
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417009283
Provider Name
Wellness Sport & Spine Chiropractic Pllc
Credential
Provider Entity Type
Organization
Address
130 Front St, Vestal, NY, 13850-1562
Phone Number
607-786-3601
Fax Number
607-834-7029
Provider Enumeration Date
01/18/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000143666 01 NY EXCELLUS BC BS
1003840711 01 NY NPI INDIVIDUAL
100651380167 01 NY CDPHP
5734880001 01 NY DMEPOS
648821 01 NY UNITED HEALTH CARE
institution
Provider Business Practice Location Address Details
Address
130 Front St
City
Vestal
State
New York
Zip
13850-1562
Phone Number
607-786-3601
Fax Number
607-834-7029
person
Provider Business Mailing Address Details
Address
130 Front St
City
Vestal
State
New York
Zip
13850-1562
Phone Number
607-786-3601
Fax Number
607-834-7029
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
X009961-1 (New York)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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