Detrick Family Chiropractic Pllc

NPI #1750636056 in Vestal, New York

Provider Information

NPI Number: 1750636056
Entity Type: Organization
Organization Name: Detrick Family Chiropractic Pllc
Primary Specialty: Chiropractor
Enumeration Date: Jul 23, 2012
Last Updated: Jul 23, 2012

Practice Location

Address: 601 GATES RD
City: Vestal
State: New York
ZIP Code: 13850-2288
Phone: (607) 766-9600

Authorized Official

Name: DR. ROBERT DETRICK, D.C.
Title: SOLE MEMBER
Phone: (607) 766-9600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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