Provider Demographics
NPI:1053854455
Name:DEBORAH ANN GARVEY, CHIROPRACTOR P.C.
Entity Type:Organization
Organization Name:DEBORAH ANN GARVEY, CHIROPRACTOR P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:GARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:585-768-4447
Mailing Address - Street 1:73 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LE ROY
Mailing Address - State:NY
Mailing Address - Zip Code:14482-1444
Mailing Address - Country:US
Mailing Address - Phone:585-768-4447
Mailing Address - Fax:
Practice Address - Street 1:73 MAIN ST
Practice Address - Street 2:
Practice Address - City:LE ROY
Practice Address - State:NY
Practice Address - Zip Code:14482-1444
Practice Address - Country:US
Practice Address - Phone:585-768-4447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-02
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006159111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty