LEVICK CHIROPRACTIC
Chiropractic at Niagara Falls Blvd, Niagara Falls, NY

License number
New York X009724
Category
Chiropractic
Type
Chiropractor
Owner
Name: DR. JACQUELYN MICHELE RUSSELL D.C.
Title: PRESIDENT
Phone: (716) 298-0368
Address
Address
10158 Niagara Falls Blvd, Niagara Falls, NY 14304
National Provider ID: 1457551152
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LEVICK CHIROPRACTIC PC

10158 Niagara Fls Blvd, Niagara Falls, NY 14304

Industry:
Chiropractor's Office
Registration:
Aug 21, 2002
State ID:
2803171
Business type:
DOMESTIC PROFESSIONAL CORPORATION
President, Principals:
Dc Jacquelyn Russell, 2749 Caledonic St, Newfane, NY 14108 (Physical),Jacquelyn M. Russell (President, Principal)
Agent:
Dc Keith Levic,2749 Caledonia St, Newfane, NY 14108 (Physical)

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