Provider Demographics
NPI:1457787848
Name:DOLCE, TARAH MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:TARAH
Middle Name:MARIE
Last Name:DOLCE
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 1:1900 RIDGE RD STE 127
Mailing Address - Street 2:
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-3332
Mailing Address - Country:US
Mailing Address - Phone:716-677-2969
Mailing Address - Fax:716-674-2969
Practice Address - Street 1:1900 RIDGE RD STE 127
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-3332
Practice Address - Country:US
Practice Address - Phone:716-677-2969
Practice Address - Fax:716-674-2969
Is Sole Proprietor?:No
Enumeration Date:2013-09-18
Last Update Date:2018-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010747111N00000X
NYX012438111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor