Provider Demographics
NPI:1033267729
Name:FRONCZAK, CHRISTOPHER PAUL (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:PAUL
Last Name:FRONCZAK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6280 STATE ROUTE 96
Mailing Address - Street 2:SUITE C
Mailing Address - City:VICTOR
Mailing Address - State:NY
Mailing Address - Zip Code:14564-1408
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6280 STATE ROUTE 96
Practice Address - Street 2:SUITE C
Practice Address - City:VICTOR
Practice Address - State:NY
Practice Address - Zip Code:14564-1408
Practice Address - Country:US
Practice Address - Phone:585-924-1880
Practice Address - Fax:585-924-8364
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX009579111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician