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Dr. Stephen Tyler Divito, DC
Chiropractor in Rochester, New York
NPI 1972562429

Stephen Tyler Divito is a Chiropractor based in Rochester, NY. Stephen Tyler Divito practices in Rochester, NY and has the professional credentials of DC. The NPI Number for Stephen Tyler Divito is 1972562429 and holds a License No. X009211 (New York).

The current practice location address for Stephen Tyler Divito is 572 Titus Ave, Rochester, NY and can be reached out via phone at 585-544-4077 and via fax at 585-544-4070.

Location: 572 Titus Ave, Rochester, NY, 14617-3519
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972562429
Provider Name
Stephen Tyler Divito
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
572 Titus Ave, Rochester, NY, 14617-3519
Phone Number
585-544-4077
Fax Number
585-544-4070
Provider Enumeration Date
03/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
16-1562329 01 NY TAX ID NO
institution
Provider Business Practice Location Address Details
Address
572 Titus Ave
City
Rochester
State
New York
Zip
14617-3519
Phone Number
585-544-4077
Fax Number
585-544-4070
person
Provider Business Mailing Address Details
Address
572 Titus Ave
City
Rochester
State
New York
Zip
14617-3519
Phone Number
585-544-4077
Fax Number
585-544-4070
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
X009211 (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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