Provider Demographics
NPI:1780830182
Name:HENRIETTA CHIROPRACTIC PC
Entity Type:Organization
Organization Name:HENRIETTA CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:MS
Authorized Official - First Name:DRUCILLA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ESTEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:585-334-8070
Mailing Address - Street 1:2040 EAST HENRIETTA ROAD
Mailing Address - Street 2:SUITE B
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-3923
Mailing Address - Country:US
Mailing Address - Phone:585-334-8070
Mailing Address - Fax:585-334-8132
Practice Address - Street 1:2040 EAST HENRIETTA ROAD
Practice Address - Street 2:SUITE B
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-3923
Practice Address - Country:US
Practice Address - Phone:585-334-8070
Practice Address - Fax:585-334-8132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-18
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty