Provider Demographics
NPI:1376185629
Name:TOKARZ, PHILLIP RICHARD
Entity type:Individual
Prefix:
First Name:PHILLIP
Middle Name:RICHARD
Last Name:TOKARZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 HELENDALE ROAD
Mailing Address - Street 2:SUITE #185
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14609
Mailing Address - Country:US
Mailing Address - Phone:585-271-6080
Mailing Address - Fax:585-271-6816
Practice Address - Street 1:500 HELENDALE RD STE 185
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14609-3167
Practice Address - Country:US
Practice Address - Phone:585-271-6080
Practice Address - Fax:585-271-6816
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-08
Last Update Date:2025-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013294111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor