Provider Demographics
NPI:1366968059
Name:BRINGLEY, ELIZABETH MARY (DC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:MARY
Last Name:BRINGLEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:189 HARVINGTON DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14617-2327
Mailing Address - Country:US
Mailing Address - Phone:585-749-7799
Mailing Address - Fax:
Practice Address - Street 1:6385 STATE ROUTE 96 STE 210
Practice Address - Street 2:
Practice Address - City:VICTOR
Practice Address - State:NY
Practice Address - Zip Code:14564-1404
Practice Address - Country:US
Practice Address - Phone:585-924-3330
Practice Address - Fax:585-924-5349
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-15
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006286-1171100000X
NYX0129981111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist