Provider Demographics
NPI:1669757118
Name:COX FAMILY CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:COX FAMILY CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:LAUREN
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:716-392-3676
Mailing Address - Street 1:3890 SENECA ST
Mailing Address - Street 2:LOWER
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-3411
Mailing Address - Country:US
Mailing Address - Phone:716-674-3595
Mailing Address - Fax:716-674-3598
Practice Address - Street 1:3890 SENECA ST
Practice Address - Street 2:LOWER
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-3411
Practice Address - Country:US
Practice Address - Phone:716-674-3595
Practice Address - Fax:716-674-3598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-17
Last Update Date:2014-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY70012076111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA100072951Medicare UPIN