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Dr. Michael James Demianenko, DC
Chiropractor in Watertown, New York
NPI 1831262724

Michael James Demianenko is a Chiropractor based in Watertown, NY. Michael James Demianenko practices in Watertown, NY and has the professional credentials of DC. The NPI Number for Michael James Demianenko is 1831262724 and holds a License No. X008072-1 (New York).

The current practice location address for Michael James Demianenko is 16163 County Route 156, Watertown, NY and can be reached out via phone at 315-779-2828 and via fax at 315-782-5813.

Location: 16163 County Route 156, Watertown, NY, 13601-5746
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831262724
Provider Name
Michael James Demianenko
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
16163 County Route 156, Watertown, NY, 13601-5746
Phone Number
315-779-2828
Fax Number
315-782-5813
Provider Enumeration Date
11/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C08072-3W 01 NY NY STATE WORKERS COMPENSA
10925625 01 NY CAQH PROVIDER ID#
institution
Provider Business Practice Location Address Details
Address
16163 County Route 156
City
Watertown
State
New York
Zip
13601-5746
Phone Number
315-779-2828
Fax Number
315-782-5813
person
Provider Business Mailing Address Details
Address
16163 County Route 156
City
Watertown
State
New York
Zip
13601-5746
Phone Number
315-779-2828
Fax Number
315-782-5813
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
X008072-1 (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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