| Lackawanna Chiropractic Pc | |
|
1198 Ridge Rd, Lackawanna, NY 14218-1817 | |
| (716) 823-1900 | |
| (716) 823-2730 |
| Full Name | Lackawanna Chiropractic Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1198 Ridge Rd, Lackawanna, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508301607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | X009889 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lackawanna Chiropractic Pc 1198 Ridge Rd, Lackawanna, NY 14218-1817 Ph: (716) 823-1900 | Lackawanna Chiropractic Pc 1198 Ridge Rd, Lackawanna, NY 14218-1817 Ph: (716) 823-1900 |
Dr. Ridha Farooq, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1629 Electric Ave, Lackawanna, NY 14218 Phone: 201-315-7667 | |
Dr. Thomas John Taylor Jr., DC Chiropractor Medicare: Medicare Enrolled Practice Location: 1198 Ridge Road, Lackawanna, NY 14218 Phone: 716-823-1900 Fax: 716-823-2730 |