Provider Demographics
NPI:1942424098
Name:CZAPLAK, MARY (DC)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:
Last Name:CZAPLAK
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:PO BOX 559
Mailing Address - Street 2:1260 ROCHESTER ST
Mailing Address - City:LIMA
Mailing Address - State:NY
Mailing Address - Zip Code:14485-0559
Mailing Address - Country:US
Mailing Address - Phone:585-624-7470
Mailing Address - Fax:
Practice Address - Street 1:1260 ROCHESTER ST
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:NY
Practice Address - Zip Code:14485-9424
Practice Address - Country:US
Practice Address - Phone:585-624-7470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2016-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX-009020-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor