Provider Demographics
NPI:1851517882
Name:DOWNS, MICHAEL JAMES (DC)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:JAMES
Last Name:DOWNS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5444 CAMP RD
Mailing Address - Street 2:HOLIDAY VILLAGE PLAZA
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-2749
Mailing Address - Country:US
Mailing Address - Phone:716-649-9921
Mailing Address - Fax:716-649-9965
Practice Address - Street 1:5444 CAMP RD
Practice Address - Street 2:HOLIDAY VILLAGE PLAZA
Practice Address - City:HAMBURG
Practice Address - State:NY
Practice Address - Zip Code:14075-2749
Practice Address - Country:US
Practice Address - Phone:716-649-9921
Practice Address - Fax:716-649-9965
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX009224-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBB4751Medicare ID - Type Unspecified
NYU74886Medicare UPIN