Provider Demographics
NPI:1235218751
Name:KNOX, NANCI LYNNE (DC)
Entity Type:Individual
Prefix:DR
First Name:NANCI
Middle Name:LYNNE
Last Name:KNOX
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3250 SENECA TURNPIKE
Mailing Address - Street 2:UNIT 1
Mailing Address - City:CANASTOTA
Mailing Address - State:NY
Mailing Address - Zip Code:13032
Mailing Address - Country:US
Mailing Address - Phone:315-697-9721
Mailing Address - Fax:315-697-9720
Practice Address - Street 1:3250 SENECA TURNPIKE
Practice Address - Street 2:UNIT 1
Practice Address - City:CANASTOTA
Practice Address - State:NY
Practice Address - Zip Code:13032
Practice Address - Country:US
Practice Address - Phone:315-697-9721
Practice Address - Fax:315-697-9720
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX0107751111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC107757WOtherWORKERS COMP
NYC107757WOtherWORKERS COMP
NYBA0031Medicare ID - Type Unspecified