Provider Demographics
NPI:1669565784
Name:DANIELS FAMILY CHIROPRACTIC, P.C.
Entity type:Organization
Organization Name:DANIELS FAMILY CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:DANIELS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:585-786-5830
Mailing Address - Street 1:433 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:NY
Mailing Address - Zip Code:14569-1029
Mailing Address - Country:US
Mailing Address - Phone:585-786-5833
Mailing Address - Fax:585-786-2465
Practice Address - Street 1:433 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:NY
Practice Address - Zip Code:14569-1029
Practice Address - Country:US
Practice Address - Phone:585-786-5833
Practice Address - Fax:585-786-2465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX008549111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5899439OtherGHI
NY002253862OtherBLUE CROSS WNY
NY8810843OtherINDEPENDENT HEALTH
NY943505OtherMPN
NYCO8449-0OtherWORKERS' COMPENSATION #
1669565784OtherBLUE CHOICE
NYP010008549OtherBLUE CROSS ROCHESTER
NYCO8449-0OtherWORKERS' COMPENSATION #
NY=========OtherLANDMARK
NYP010008549OtherBLUE CROSS ROCHESTER