Provider Demographics
NPI:1366863466
Name:TOMKO, DANIELLE VANESSA (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:VANESSA
Last Name:TOMKO
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 1:1567 MILITARY RD STE 1
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:NY
Mailing Address - Zip Code:14217-1264
Mailing Address - Country:US
Mailing Address - Phone:716-877-0676
Mailing Address - Fax:716-877-4248
Practice Address - Street 1:1567 MILITARY RD STE 1
Practice Address - Street 2:
Practice Address - City:KENMORE
Practice Address - State:NY
Practice Address - Zip Code:14217-1264
Practice Address - Country:US
Practice Address - Phone:716-877-0676
Practice Address - Fax:716-877-4248
Is Sole Proprietor?:No
Enumeration Date:2013-12-17
Last Update Date:2013-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012462111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor