Provider Demographics
NPI:1659843043
Name:ATHERTON, EMMA SUSAN (DC)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:SUSAN
Last Name:ATHERTON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:EMMA
Other - Middle Name:SUSAN
Other - Last Name:PINARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6332 S TRANSIT RD
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14094-6336
Mailing Address - Country:US
Mailing Address - Phone:716-434-3889
Mailing Address - Fax:
Practice Address - Street 1:6332 S TRANSIT RD
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14094-6336
Practice Address - Country:US
Practice Address - Phone:716-434-3889
Practice Address - Fax:716-210-3323
Is Sole Proprietor?:No
Enumeration Date:2018-12-22
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013184111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor