Provider Demographics
NPI:1124215280
Name:DANIEL C COX PC
Entity Type:Organization
Organization Name:DANIEL C COX PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:DC, PC
Authorized Official - Phone:716-632-3435
Mailing Address - Street 1:8370 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-6104
Mailing Address - Country:US
Mailing Address - Phone:716-632-3435
Mailing Address - Fax:716-632-8491
Practice Address - Street 1:8370 MAIN ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-6104
Practice Address - Country:US
Practice Address - Phone:716-632-3435
Practice Address - Fax:716-632-8491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-02
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBA1203Medicare PIN