Provider Demographics
NPI:1437231909
Name:VOROZILCHAK, MICHAEL DAVID (D C)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:DAVID
Last Name:VOROZILCHAK
Suffix:
Gender:M
Credentials:D C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 W NORTH ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:GENEVA
Mailing Address - State:NY
Mailing Address - Zip Code:14456-1559
Mailing Address - Country:US
Mailing Address - Phone:315-789-9355
Mailing Address - Fax:315-789-9300
Practice Address - Street 1:324 W NORTH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:GENEVA
Practice Address - State:NY
Practice Address - Zip Code:14456-1559
Practice Address - Country:US
Practice Address - Phone:315-789-9355
Practice Address - Fax:315-789-9300
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY70 011232111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor